Individual
TERRY MATTHEW JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16356 COUNTY ROAD 41, ADDISON, AL 35540-2416
(256) 747-1186
(256) 747-1196
Mailing address
16356 COUNTY ROAD 41, ADDISON, AL 35540-2416
(256) 747-1186
(256) 747-1196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28387
AL
207Q00000X
Family Medicine Physician
L-2816
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I080435
MEDICARE
AL
05
—
111855
—
AL
01
—
1225250640
UNITED HEALTH CARE
AL
01
—
1598717381
MEDICAID PAYEE
AL
01
—
E869
MEDICARE GROUP
AL
01
—
P00733325
MEDICARE RR
AL
Enumeration date
05/03/2007
Last updated
07/27/2015
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