Provider Demographics
NPI:1871564682
Name:FURR, ROY WOODLEY JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:WOODLEY
Last Name:FURR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 N LOGAN ST
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29341-2026
Mailing Address - Country:US
Mailing Address - Phone:864-488-1333
Mailing Address - Fax:864-488-3004
Practice Address - Street 1:1307 N LOGAN ST
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341-2026
Practice Address - Country:US
Practice Address - Phone:864-488-1333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18549208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics