Individual
DR. IRA GORDON EARLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
1241 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2258
(864) 591-0992
(864) 591-0776
Mailing address
1241 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2258
(864) 591-0992
(864) 591-0776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18944
SC
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
18944
SC
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
18944
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0005
MEDICARE RAILROAD GROUP
SC
01
—
P00141794
MEDICARE RAILROAD PIN
SC
05
—
T29993
—
SC
Enumeration date
10/06/2005
Last updated
02/26/2013
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