National Provider Identifier Database

A NEDRA Y FULLER TERRY, DPM – NPI #1902976863
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

A NEDRA Y FULLER TERRY, DPM
2828 FIRST AVENUE
SUITE 203
HUNTINGTON, WV25702-1236
Phone: 304-522-3692
Fax: 304-522-3693
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for A NEDRA Y FULLER TERRY

NPI Number 1902976863
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/08/2006
Last updated 11/19/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • WV License #: 10387
  • OH Medicaid: 2707084
  • WV Medicaid: 3810007238
  • WV Other: P00357027 RR MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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