Pummer, Terry Lee
Pummer, Terry Lee is an individual health care provider with primary practice located at 960 Avent Dr Suite 100A, Grenada MS 38901-5230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pummer, Terry Lee can be contacted via phone (662) 227-7444.Contact Information
Primary practice address
960 Avent Dr Suite 100A
Grenada MS 38901-5230
Phone: (662) 227-7444
Fax: (662) 227-7443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS012759 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21836 | Mississippi |
Profile Details
| NPI number | 1528056637 |
|---|---|
| LBN Legal business name | Pummer, Terry Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Oct 22nd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528056637 | NPPES |
| Mississippi | MEDICAID | 00059747 | |
| Mississippi | MEDICAID | 101343001 |
Popular Providers
-
Killian, James Wendall
402 Cumberland Ave , Williamsburg KY 40769-1238 -
Penner, Timothy M.
609 Liberty St , Clay Center KS 67432-1564 -
Reid, Richard Clyde
1300 Sunset Dr Suite F, Grenada MS 38901-4086 -
Swanson, Evan Joel
1301 S. Main St. , Ottawa KS 66067 -
Fluharty, Kelly C
800 Grand Central Mall Suite 4, Vienna WV 26105-4131 -
Stanford, James K
1117 Sunset Dr Suite 101, Grenada MS 38901-4080 -
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121 -
Bailey, Audrey Kathryn
40 Lark Dr , Grenada MS 38901-9640