Provider Demographics
NPI:1962646620
Name:ERBYNN, EFUA MAIRO (MD)
Entity type:Individual
Prefix:DR
First Name:EFUA
Middle Name:MAIRO
Last Name:ERBYNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:EFUA
Other - Middle Name:MAIRO
Other - Last Name:ERBYNN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1302 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-3419
Mailing Address - Country:US
Mailing Address - Phone:336-475-6139
Mailing Address - Fax:336-475-3331
Practice Address - Street 1:1302 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-3419
Practice Address - Country:US
Practice Address - Phone:336-475-6139
Practice Address - Fax:336-475-3331
Is Sole Proprietor?:No
Enumeration Date:2009-04-26
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA116952207V00000X
NC2013-01192207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program