Provider Demographics
NPI:1124166236
Name:EFURD, GREGORY TRENT (MS)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:TRENT
Last Name:EFURD
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 GATE LANE
Mailing Address - Street 2:APT 419
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-3522
Mailing Address - Country:US
Mailing Address - Phone:865-256-0872
Mailing Address - Fax:
Practice Address - Street 1:9111 CROSS PARK DRIVE
Practice Address - Street 2:SUITE E475
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4506
Practice Address - Country:US
Practice Address - Phone:865-560-2572
Practice Address - Fax:865-560-2580
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health