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Individual

MR. LLOYD GAJADHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCAS

Contact information

Practice address
501 PALADIN DR, GREENVILLE, NC 27834-7826
(252) 353-5346
(252) 321-7300
Mailing address
2245 STANTONSBURG RD, SUITE P, GREENVILLE, NC 27834-2868
(252) 752-0483
(252) 752-2971

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
876
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1419P
BCBS
NC
01
187552
MEDCOST
NC
05
6110507
NC
Enumeration date
11/28/2006
Last updated
07/08/2007
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