Provider Demographics
NPI:1467468454
Name:TRUE, TERRY J (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:J
Last Name:TRUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 298
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35631-0298
Mailing Address - Country:US
Mailing Address - Phone:256-767-7494
Mailing Address - Fax:256-765-0377
Practice Address - Street 1:104A PHYSICIANS DR
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2100
Practice Address - Country:US
Practice Address - Phone:256-383-6070
Practice Address - Fax:256-381-4022
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16719207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-40508OtherBCBS
AL631053058023OtherTRICARE-TUSCUMBIA
AL009942802Medicaid
AL515-40884OtherBCBS
AL631053058009OtherTRICARE-RUSSELLVILLE
ALP00409896OtherRAILROAD MCR PIN
AL009942844Medicaid
AL051540508Medicare PIN
ALP00409896OtherRAILROAD MCR PIN