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Individual

DR. TERRY O NORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2728 SUNSET BLVD STE 400, WEST COLUMBIA, SC 29169-4872
(803) 936-7095
(803) 936-7908
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18632
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186328
SC
01
P00105441
RR MEDICARE
Enumeration date
08/10/2006
Last updated
07/17/2024
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