Individual
WESTON BLAKE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 HOSPITAL ST, MOULTON, AL 35650-1210
(256) 974-6697
Mailing address
1316 SOMERVILLE RD SE STE 1, DECATUR, AL 35601-4309
(256) 260-7361
(256) 355-6092
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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