Individual
MR. TERRY G DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR., FORT CAMPBELL, KY 42223
(270) 798-8372
Mailing address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR., FORT CAMPBELL, KY 42223
(270) 798-8372
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00485
TX
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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