Provider Demographics
NPI:1962468397
Name:OVERBY, TERRY L (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:L
Last Name:OVERBY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4057 QUARLES CT
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8717
Mailing Address - Country:US
Mailing Address - Phone:540-208-7002
Mailing Address - Fax:540-217-2339
Practice Address - Street 1:4057 QUARLES CT
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-8717
Practice Address - Country:US
Practice Address - Phone:540-208-7002
Practice Address - Fax:540-217-2339
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2018-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101029687207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1962468397Medicaid
VA1962468397Medicaid
VA390001808OtherRAILROAD MEDICARE
VA006025757Medicaid
VA006025757Medicaid