TERRY KETCHERSID

Internal Medicine

Active Individual
NPI: 1609881192

Practice Address

2232 WILBORN AVE
South Boston, VA 24592

Phone: (434) 517-3914

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes 0101054573 (VA)

Frequently Asked Questions

NPI 1609881192 is the National Provider Identifier for TERRY KETCHERSID, a Internal Medicine provider located in South Boston, VA. This NPI was enumerated on July 31, 2006.
TERRY KETCHERSID practices at 2232 WILBORN AVE, South Boston, VA 24592.

Quick Facts

NPI
1609881192
Type
Individual
Enumerated
Jul 31, 2006
Last Updated
Jul 8, 2007

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