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NPI Code Detail

MEDICARE: TERRY DOUGLAS HESS MD

MEDICARE: TERRY DOUGLAS HESS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34543NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124090279
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY DOUGLAS HESS MD
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 336-712-0700
Fax Number : 336-712-0876
Provider Business Practice Location Address
First Line : 1225 LEWISVILLE CLEMMONS RD
Second Line : DBA FAMILY MEDICAL ASSOCIATES OF LEWISVILLE
City : LEWISVILLE
State : NC
Zip : 27023-8251
Country : US
Telephone Number : 336-712-0700
Fax Number : 336-712-0876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 11/01/2022

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