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NPI Code Detail

MEDICARE: AMY MARIE TERRY FNP-C

MEDICARE: AMY MARIE TERRY FNP-C
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
1363LF0000XFamily Nurse PractitionerGAA-NP004395GA

General Provider Information

NPI Number : 1457871949
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY MARIE TERRY FNP-C
Provider Business Mailing Address
First Line : 1200 MEMORIAL DR
Second Line :
City : DALTON
State : GA
Zip : 30720-2529
Country : US
Telephone Number : 706-272-6158
Fax Number : 442-200-0627
Provider Business Practice Location Address
First Line : 1200 MEMORIAL DR
Second Line :
City : DALTON
State : GA
Zip : 30720-2529
Country : US
Telephone Number : 423-240-3965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2017
Last Update Date : 01/12/2026

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