Individual
MR. TERRY G AGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
44 OLD HIGHWAY 45 LOOP ROAD, WAYNESBORO, MS 39367
(601) 687-9813
(601) 687-9973
Mailing address
PO BOX 3186, MERIDIAN, MS 39303-3186
(601) 917-5770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT406
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09158006
—
MS
Enumeration date
12/27/2007
Last updated
12/27/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us