Terry L Ketchersid

NPI #1609881192 in South Boston, Virginia

Provider Information

NPI Number: 1609881192
Entity Type: Individual
Name: Terry L Ketchersid
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Jul 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2232 WILBORN AVE
City: South Boston
State: Virginia
ZIP Code: 24592
Phone: (434) 517-3914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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