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Individual

MRS. TERRI L DEGEEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, OB GYN NP

Contact information

Practice address
WOMACK ARMY MEDICAL CTR, 2817 REILLY ROAD, FORT BRAGG, NC 28310-0001
(910) 907-7994
Mailing address
7104 CALAMAR DR, FAYETTEVILLE, NC 28314-5215
(910) 867-1373

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CNM- 359
NC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
F360483-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
176B00000X
TAXONOMY CODE
NC
Enumeration date
12/06/2005
Last updated
03/31/2011
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