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Individual

ANDREW POPE TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3701 DAUPHIN ST, MOBILE, AL 36608-1756
(251) 341-3368
(251) 341-3371
Mailing address
2880 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 473-1900
(251) 470-8943

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11622
AL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
11622
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000034531
AL
01
0810149
UNITED HEALTHCARE PROV. #
AL
01
4113072
AETNA PROVIDER #
AL
01
51034531
BLUE CROSS PROVIDER #
AL
01
B64295
HEALTHSPRING PROVIDER #
AL
Enumeration date
09/14/2005
Last updated
04/22/2020
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