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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TERRY G DAVIS, PA

Active

MR. TERRY G DAVIS, PA is a Surgical Physician Assistant healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1114993904 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · FORT CAMPBELL, KY

Registration Details

NPI Number
1114993904
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2006 (20.467929575682 yrs)
Last Updated
Jul 8, 2007
License
PA00485 (TX)

Practice Information

Address
BLANCHFIELD ARMY COMMUNITY HOSPITAL
650 JOEL DR.
FORT CAMPBELL, KY, 42223
Browse KY providers · Browse ZIP 42223
Phone
2707988372
Primary Specialty
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.