Individual
DR. CHRISTIAN RENARD TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1509 DOCTORS CIR BLDG C, WILMINGTON, NC 28401-7403
(910) 662-7500
(910) 662-7501
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-7500
(910) 662-7501
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6443
NC
103G00000X
Clinical Neuropsychologist
—
NC
103T00000X
Psychologist
6443
NC
Other
Enumeration date
09/12/2022
Last updated
08/22/2024
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