Terry, Thomas L
Terry, Thomas L is an individual health care provider with primary practice located at 2064 Vineville Ave , Macon GA 31204-3140. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Terry, Thomas L can be contacted via phone (478) 743-1478.Contact Information
Primary practice address
2064 Vineville Ave
Macon GA 31204-3140
Phone: (478) 743-1478
Fax: (478) 746-8536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 022897 | Georgia |
Profile Details
| NPI number | 1942250857 |
|---|---|
| LBN Legal business name | Terry, Thomas L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jun 29th, 2010 - about 15 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 | 1942250857 | NPPES |
| Georgia | MEDICAID | 00237212 |
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