Individual
DR. TERRY W. DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD PSC
Contact information
Practice address
218 S LIBERTY ST, GLASGOW, KY 42141-2426
(270) 651-3466
(270) 659-0633
Mailing address
218 S LIBERTY ST, GLASGOW, KY 42141-2426
(270) 651-3466
(270) 659-0633
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1021DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77010213
—
KY
Enumeration date
11/16/2006
Last updated
03/12/2013
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