Provider Demographics
NPI:1194723106
Name:FURLOW, TERRANCE GREGORY (MD)
Entity type:Individual
Prefix:DR
First Name:TERRANCE
Middle Name:GREGORY
Last Name:FURLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4071 TATES CREEK CENTRE DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3062
Mailing Address - Country:US
Mailing Address - Phone:859-276-5454
Mailing Address - Fax:859-277-1961
Practice Address - Street 1:2101 NICHOLASVILLE RD
Practice Address - Street 2:SUITE 208
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2518
Practice Address - Country:US
Practice Address - Phone:859-276-5454
Practice Address - Fax:859-277-1961
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY21641207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64216419Medicaid
KY64216419Medicaid
KYC74933Medicare UPIN