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Individual

DR. THOMAS GREGORY TERRAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
341 GREENO RD N, FAIRHOPE, AL 36532-2979
(251) 928-2401
(251) 928-5099
Mailing address
PO BOX 1186, FAIRHOPE, AL 36533-1186
(251) 928-2401
(251) 928-5099

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00025825
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009954415
AL
01
528700580
GROUP MEDICAID
AL
Enumeration date
07/11/2005
Last updated
02/23/2024
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