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Individual

DANIEL S TERRYBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1141 N ROAD ST, SUITE G, ELIZABETH CITY, NC 27909-3354
(252) 335-5424
(252) 334-1501
Mailing address
1141 N ROAD ST, SUITE G, ELIZABETH CITY, NC 27909-3354
(252) 335-5424
(252) 334-1501

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35532
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
272562
MAMSI / ALLIANCE PROV #
NY
01
82438
BC/BS OF NC PROV #
NC
05
89-82438
NC
Enumeration date
09/13/2005
Last updated
12/09/2008
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