Agent, Terry G

Agent, Terry G is an sole proprietor health care provider with primary practice located at 44 Old Highway 45 Loop Road , Waynesboro MS 39367. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Agent, Terry G can be contacted via phone (601) 687-9813.

Contact Information

Primary practice address
44 Old Highway 45 Loop Road Waynesboro MS 39367
Phone: (601) 687-9813
Fax: (601) 687-9973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT406 Mississippi

Profile Details

NPI number 1912181868
LBN Legal business name Agent, Terry G
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2007
Last updated Dec 27th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912181868 NPPES
Mississippi MEDICAID 09158006

Popular Providers