Individual
MR. TERRY C BONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 CARRAWAY BLVD, BIRMINGHAM, AL 35234-1913
(205) 502-6187
(205) 502-5360
Mailing address
PO BOX 830469, MSC 511, BIRMINGHAM, AL 35283-0469
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-035183
AL
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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