Provider Demographics
NPI:1326069006
Name:CONE, TERRY ARTHUR (MD)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:ARTHUR
Last Name:CONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2300 MANCHESTER EXPRESSWAY SUITE F-5
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904
Mailing Address - Country:US
Mailing Address - Phone:706-494-0321
Mailing Address - Fax:706-494-0323
Practice Address - Street 1:2300 MANCHESTER EXPRESSWAY SUITE F-5
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904
Practice Address - Country:US
Practice Address - Phone:706-494-0321
Practice Address - Fax:706-494-0323
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA23929207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52277036-003OtherBLUE CROSS BLUE SHIELD
GA23929OtherMEDICAL LICENSE
GA000290749BMedicaid
GA11D1048614OtherCLIA #
GAD39630Medicare UPIN