Individual
DR. TERRY ADAM BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(270) 798-4677
Mailing address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(270) 798-4677
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02006949A
IN
Other
Enumeration date
06/09/2021
Last updated
08/06/2024
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