# ANTHONY CLARK GAITHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871681478
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 33918 | NC | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 06/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0150C | GROUP BLUE CROSS \# | NC |
| 01 | — | 22787 | BLUE CROSS INDIVIDUAL \# | NC |
| 05 | — | 790150C | — | NC |
| 05 | — | 7934317 | — | NC |