Provider Demographics
NPI:1679320105
Name:GURBUZ, TERRESTRIAL FAYE
Entity type:Individual
Prefix:
First Name:TERRESTRIAL
Middle Name:FAYE
Last Name:GURBUZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5580 HIGHWAY 557 OFC C
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-7359
Mailing Address - Country:US
Mailing Address - Phone:803-579-4993
Mailing Address - Fax:
Practice Address - Street 1:5580 HIGHWAY 557 OFC C
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-7359
Practice Address - Country:US
Practice Address - Phone:803-579-4993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide