| Mr Terry G Agent, RPT | |
|
44 Old Highway 45 Loop Road, Waynesboro, MS 39367 | |
| (601) 687-9813 | |
| (601) 687-9973 |
| Full Name | Mr Terry G Agent |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 44 Old Highway 45 Loop Road, Waynesboro, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912181868 | NPI | - | NPPES |
| 09158006 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT406 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Terry G Agent, RPT Po Box 3186, Meridian, MS 39303-3186 Ph: (601) 917-5770 | Mr Terry G Agent, RPT 44 Old Highway 45 Loop Road, Waynesboro, MS 39367 Ph: (601) 687-9813 |
Mrs. Tracey L Busby, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Coyt Gilbert Dr, Waynesboro, MS 39367 Phone: 601-740-0694 | |
I.p.t.s., Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Old Highway 45 Loop Road, Waynesboro, MS 39367 Phone: 601-687-9813 Fax: 601-687-9973 |