Individual
DR. JUSTIN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1371 JACKSON PIKE, GALLIPOLIS, OH 45631-1385
(740) 446-1760
(740) 446-1550
Mailing address
1371 JACKSON PIKE, GALLIPOLIS, OH 45631-1385
(740) 446-1760
(740) 446-1550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6254
OH
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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