| NPI | 1851629810 |
|---|---|
| Professional Name | JOHNNY B TERRY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085006972) |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9106081) | |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2024-09-04 |