Healthcare Provider Details

I. General information

NPI: 1124147418
Provider Name (Legal Business Name): TERRY DEAN DAY II D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2431 WEST MAIN STREET SUITE 1102
DOTHAN AL
36301-1250
US

IV. Provider business mailing address

2431 WEST MAIN STREET SUITE 1102
DOTHAN AL
36301-1250
US

V. Phone/Fax

Practice location:
  • Phone: 334-699-5780
  • Fax: 334-699-5786
Mailing address:
  • Phone: 334-699-5780
  • Fax: 334-699-5786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDO.954
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS9929
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO954
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: