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Individual

DR. TERRY A TREADWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2167 NORMANDIE DR, MONTGOMERY, AL 36111-2728
(334) 747-3444
(334) 747-3450
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11176
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051531984 529929310
AL
01
1710077
UNITED HEALTH CARE
AL
01
203204949
FED TAX ID
AL
01
C71058
VIVA
AL
01
C71058 31984
BLUE CROSS SHIELD
AL
Enumeration date
10/03/2006
Last updated
01/06/2023
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