Provider Demographics
NPI:1124147418
Name:DAY, TERRY DEAN II (DO)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:DEAN
Last Name:DAY
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2431 WEST MAIN STREET
Mailing Address - Street 2:SUITE 1102
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-1250
Mailing Address - Country:US
Mailing Address - Phone:334-699-5780
Mailing Address - Fax:334-699-5786
Practice Address - Street 1:2431 WEST MAIN STREET
Practice Address - Street 2:SUITE 1102
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-1250
Practice Address - Country:US
Practice Address - Phone:334-699-5780
Practice Address - Fax:334-699-5786
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2013-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS9929207R00000X
ALDO954207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALDO.954OtherAL LIC NUMBER
AL009943128Medicaid