Ezell, Terry H
Ezell, Terry H is an individual health care provider with primary practice located at 1780 Medical Park Dr , Rock Hill SC 29732-1194. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ezell, Terry H can be contacted via phone (803) 327-1116.Contact Information
Primary practice address
1780 Medical Park Dr
Rock Hill SC 29732-1194
Phone: (803) 327-1116
Fax: (803) 327-6872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 17708 | South Carolina |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 95-00570 | North Carolina |
Profile Details
| NPI number | 1083788673 |
|---|---|
| LBN Legal business name | Ezell, Terry H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Mar 31st, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083788673 | NPPES |
| North Carolina | MEDICAID | 89136H3 | |
| North Carolina | Other | 0005525006 | |
| North Carolina | Other | 136H3 | |
| North Carolina | Other | 57365 | |
| North Carolina | Other | 1905786 | |
| North Carolina | Other | 279866 | |
| North Carolina | MEDICAID | 177089 | |
| North Carolina | Other | 760694 |
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