Organization
TERRY FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA AREGHAN FNP (OWNER)
(601) 878-5115
Entity
Organization
Contact information
Practice address
120 W RAYMOND STREET, TERRY, MS 39170-0970
(601) 878-5115
(601) 878-5164
Mailing address
PO BOX 370, TERRY, MS 39170-0370
(601) 878-5115
(601) 878-5164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015232
—
MS
Enumeration date
05/17/2007
Last updated
08/22/2020
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