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NPI Code Detail

MEDICARE: TERRY G DANIEL M.D.

MEDICARE: TERRY G DANIEL M.D.
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 Physician38038NC

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 : 1578565776
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY G DANIEL M.D.
Provider Business Mailing Address
First Line : 250 W KINGS HWY
Second Line :
City : EDEN
State : NC
Zip : 27288-5010
Country : US
Telephone Number : 336-623-5171
Fax Number : 336-627-5747
Provider Business Practice Location Address
First Line : 250 W KINGS HWY
Second Line :
City : EDEN
State : NC
Zip : 27288-5010
Country : US
Telephone Number : 336-623-5171
Fax Number : 336-627-5747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 10/09/2014

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