TERRY G AGENT

WAYNESBORO, MS
NPI1912181868
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT406)
Enumeration Date2007-12-27
Last Update Date2007-12-27
Business Address
Mr. TERRY G AGENT RPT
44 OLD HIGHWAY 45 LOOP ROAD
WAYNESBORO, MS 39367
Phone number: 601-687-9813
Mailing Address
Mr. TERRY G AGENT RPT
PO BOX 3186
MERIDIAN, MS 39303-3186
Phone number: 601-917-5770
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