Individual
DR. CALVIN MORGAN TERRELONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
426 EXCHANGE BLVD STE 600, BETHLEHEM, GA 30620-1794
(770) 868-5186
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 791-0167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
062357
GA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
062357
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001514314B
—
GA
05
—
001514314C
—
GA
05
—
001514314D
—
GA
Enumeration date
05/21/2007
Last updated
10/14/2020
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