Individual
TERRENCE CROYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2375 S MAIN ST, MOULTRIE, GA 31768-6517
(229) 985-2020
(229) 890-7741
Mailing address
2282 E PINETREE BLVD, THOMASVILLE, GA 31792-4807
(229) 226-6000
(229) 226-5859
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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