Terry, Mark Anthony
Terry, Mark Anthony is an sole proprietor health care provider with primary practice located at 3641 Lanier Dr , Douglasville GA 30135-7165. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Terry, Mark Anthony can be contacted via phone (770) 489-2110.Contact Information
Primary practice address
3641 Lanier Dr
Douglasville GA 30135-7165
Phone: (770) 489-2110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | RPH022455 | Georgia |
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | PS39741 | Florida |
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | RP040267L | Pennsylvania |
Profile Details
| NPI number | 1093797219 |
|---|---|
| LBN Legal business name | Terry, Mark Anthony |
| Credentials | PHARM. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jun 15th, 2008 - about 16 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.
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