Dr. Terry Lee Everhart, MD
Family Medicine in Edgewater, MD. Individual provider (NPI-1).
NPI number1861653404
StatusActive
Last updated in NPPESApr 1, 2015
Details
- NPI
- 1861653404
- Entity type
- Individual (NPI-1)
- Name
- Dr. Terry Lee Everhart
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2008
- Last updated
- Apr 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | D72318 | MD | Yes |
| 207Q00000X | Family Medicine | 2010-01890 | NC | |
| 207Q00000X | Family Medicine | 149428 | NC |
Practice location
3169 Braverton StreetSuite 201
Edgewater, MD 21037-2690
Phone 410-956-4911 · Fax 410-956-4935
Mailing address
Po Box 12622Belfast, ME 04915-4017
Phone 443-481-6480 · Fax 443-481-6515
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