Individual
LEAVY TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5790 E CHURCH HILL RD, WEST POINT, MS 39773-5117
(662) 386-0986
Mailing address
5790 E CHURCH HILL RD, WEST POINT, MS 39773-5117
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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