Terry Driskill | |
201 Pine Bluff Rd Chatham LA 71226-7904 | |
(318) 737-2566 | |
(318) 933-7385 |
Full Name | Terry Driskill |
---|---|
Speciality | Counselor - Professional |
Location | 201 Pine Bluff Rd, Chatham, Louisiana |
Authorized Official Name and Position | Terry Driskill (OWNER/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 3187372566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Terry Driskill 201 Pine Bluff Rd Chatham LA 71226-7904 Ph: (318) 737-2566 | Terry Driskill 201 Pine Bluff Rd Chatham LA 71226-7904 Ph: (318) 737-2566 |
NPI Number | 1760733539 |
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Provider Enumeration Date | 09/19/2012 |
Last Update Date | 09/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760733539 | NPI | - | NPPES |
3601 | Other | LA | TERRY DRISKILL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3601 (Louisiana) | Primary |