Organization
TERRY W DURHAM OD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY W DURHAM OD PSC (OWNER/PRESIDENT)
(270) 651-3466
Entity
Organization
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
03/13/2013
Last updated
11/09/2023
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