TERRY L KETCHERSID

SOUTH BOSTON, VA
NPI1609881192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: VA  0101054573)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
-- TERRY L KETCHERSID
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Phone number: 434-517-3914
Mailing Address
-- TERRY L KETCHERSID
PO BOX 1115
SOUTH BOSTON, VA 24592
Phone number: 434-517-3515
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