Terry Lee Pummer in Grenada - Family Medicine
Terry Lee Pummer - NPI 1528056637
Terry Lee Pummer is a Family Medicine in Grenada, Mississippi. Terry Lee Pummer practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Terry Lee Pummer is 1528056637. The last update date is 2014-10-22.
Terry Lee Pummer's current location address is 960 Avent Dr, Grenada, Mississippi. You can contact this provider via phone number 6622277444 and fax number 6622277443. The mailing address for Terry Lee Pummer is 960 Avent Dr, Grenada, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Lee Pummer |
|---|---|
| Address | 960 Avent Dr, Grenada, Mississippi |
| Phone Number | 6622277444 |
| Fax Number | 6622277443 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1528056637 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2014-10-22 |
Provider Mailing Address Detail
| Address | 960 Avent Dr |
|---|---|
| City | Grenada |
| State | Mississippi (MS) |
| Post Code | 389015230 |
| Phone Number | 6622277444 |
| Fax Number | 6622277443 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS012759 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59747 | MS | -- | |
| 101343001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Terry Lee Pummer by the Centers for Medicare & Medicaid Services?
The Terry Lee Pummer has been issued the NPI (National Provider Identifier) 1528056637, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Terry Lee Pummer's physical address?
The Terry Lee Pummer is physically located at 960 Avent Dr, in the city of Grenada, MS, with the postal code 389015230.
What is Terry Lee Pummer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Terry Lee Pummer's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1528056637 to Terry Lee Pummer?
The Centers for Medicare & Medicaid Services assigned the 1528056637 to Terry Lee Pummer on 2005-10-12.
When was the information regarding Terry Lee Pummer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Terry Lee Pummer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-10-22.