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Individual

GARRETT MCKINSEY TERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.B.A.

Contact information

Practice address
302 HELEN CT, STERLING, VA 20164-1948
(571) 221-0374
Mailing address
302 HELEN CT, STERLING, VA 20164-1948
(571) 221-0374

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
T65357821
VA
332H00000X
Eyewear Supplier
T65357821
VA
332S00000X
Hearing Aid Equipment
T65357821
VA
335E00000X
Prosthetic/Orthotic Supplier
T65357821
VA
335G00000X
Medical Foods Supplier
T65357821
VA
347C00000X
Private Vehicle
T65357821
VA
347E00000X
Transportation Broker
T65357821
VA

Other

Enumeration date
09/02/2012
Last updated
09/02/2012
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