Provider Demographics
NPI:1881783975
Name:EURE, LUTHER HAYEWOOD JR (MD)
Entity type:Individual
Prefix:DR
First Name:LUTHER
Middle Name:HAYEWOOD
Last Name:EURE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:520 MAPLE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-4652
Mailing Address - Country:US
Mailing Address - Phone:336-342-6063
Mailing Address - Fax:336-342-7847
Practice Address - Street 1:520 MAPLE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-4652
Practice Address - Country:US
Practice Address - Phone:336-342-6063
Practice Address - Fax:336-342-6066
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2021-08-18
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Provider Licenses
StateLicense IDTaxonomies
NC9300102207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC30892OtherBCBS
NCJ481AOtherMEDICARE INDIVIDUAL PTAN LINKED TO FACULTY PRACTICE GROUP
NC1881783975Medicaid
NC1881783975Medicaid
NC30892OtherBCBS