Individual
TERRENCE CROYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
034324
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000454319H
OPTICARE
GA
05
—
000454319H
—
GA
01
—
100621
AVESIS
GA
01
—
354941
WELLCARE
GA
01
—
582233896
HUMANA
—
01
—
964533
BLUE CROSS
GA
01
—
P00247559
RAILROAD MEDICARE
—
Enumeration date
07/17/2006
Last updated
06/30/2009
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