Individual
DR. TODD F EARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2704 HENRY ST, GREENSBORO, NC 27405-3633
(336) 621-3777
(336) 621-8374
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
33994
NC
2086S0129X
Vascular Surgery Physician
Primary
33994
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
33994
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29822
BCBS
NC
01
—
3700752
UHC
NC
01
—
41439
MEDCOST
NC
01
—
770001030
RR MCR
NC
05
—
8929822
—
NC
Enumeration date
06/16/2005
Last updated
07/21/2021
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