Individual
TERENCE SIDNEY OKEEFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-7208
(706) 721-3813
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
082385
GA
2086S0127X
Trauma Surgery Physician
M2735
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178020701
—
TX
Enumeration date
03/23/2006
Last updated
03/07/2019
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