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Individual
TERRY L DAVIS
Active
Individual
TERRY L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31004
SC
208M00000X
Hospitalist Physician
Primary
31004
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310041
—
SC
01
—
P01256140
RR MEDICARE
SC
Enumeration date
06/20/2008
Last updated
05/19/2021
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