Individual
DWAYNE LUKE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5150 STILESBORO RD NW STE 120, KENNESAW, GA 30152-7741
(678) 354-0230
(678) 354-0828
Mailing address
5150 STILESBORO RD NW STE 120, KENNESAW, GA 30152-7741
(678) 354-0230
(678) 354-0828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99963
GA
Other
Enumeration date
04/08/2021
Last updated
09/27/2024
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