Individual
DR. TERRY ALAN PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 JABARRAH AVE, SEYMOUR JOHNSON AFB, GOLDSBORO, NC 27531-2310
(919) 722-0928
(919) 722-1952
Mailing address
1050 JABARRAH AVE, SEYMOUR JOHNSON AFB, GOLDSBORO, NC 27531-2310
(919) 722-0928
(919) 722-1952
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30018645
OH
Other
Enumeration date
08/30/2005
Last updated
07/08/2007
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