Individual
TERNGU DANIEL IBILAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 LONGFIELD CT, MONTGOMERY, AL 36117-8055
(256) 288-3333
(256) 288-3334
Mailing address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 975-4291
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42769
AL
2084P0800X
Psychiatry Physician
U1684
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10061363
TX
Other
Enumeration date
07/05/2017
Last updated
08/27/2024
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