Individual
STEVEN TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-2440
Mailing address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005524
GA
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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