Individual
ANDREW NICHOLAS TERRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 GAINSBOROUGH SQ, STE 300, CHESAPEAKE, VA 23320-1714
(757) 547-9286
(757) 410-0186
Mailing address
113 GAINSBOROUGH SQ, STE 300, CHESAPEAKE, VA 23320-1714
(757) 547-9286
(757) 547-5692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101027553
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006076629
—
VA
Enumeration date
06/14/2005
Last updated
01/12/2011
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