Individual
ANTHONY CLARK GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2607 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9437
(919) 735-1251
(919) 734-5183
Mailing address
2607 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9437
(919) 735-1251
(919) 734-5183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33918
NC
Other
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
Enumeration date
10/10/2006
Last updated
06/12/2013
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