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NPI Code Detail

MEDICARE: TERRY NICK FOKAKIS DO

MEDICARE:   TERRY NICK FOKAKIS  DO
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 Physician2019-02866NC

General Provider Information

NPI Number : 1265969265
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY NICK FOKAKIS DO
Provider Business Mailing Address
First Line : 183 LEDFORD ST
Second Line :
City : MURPHY
State : NC
Zip : 28906-6213
Country : US
Telephone Number : 828-837-4712
Fax Number : 828-837-4808
Provider Business Practice Location Address
First Line : 183 LEDFORD ST
Second Line :
City : MURPHY
State : NC
Zip : 28906-6213
Country : US
Telephone Number : 828-837-4712
Fax Number : 828-837-4808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2017
Last Update Date : 10/18/2022

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Directions to “ TERRY NICK FOKAKIS DO” Practice Location

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