Dr. Calvin Morgan Terrelonge
Family Doctor Family Doctor - Geriatric Medicine
426 Exchange Blvd Ste 600
Bethlehem
, Georgia 30620-1794
Dr. Calvin Morgan Terrelonge
Family Doctor Family Doctor - Geriatric Medicine
426 Exchange Blvd Ste 600
Bethlehem
, Georgia 30620-1794
(770) 791-0167
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Calvin Morgan Terrelonge
- Po Box 742616
- Atlanta, GA
- Zip : 30374-2616
- Phone : (770) 791-0167
Second Address
- Dr. Calvin Morgan Terrelonge
- 426 Exchange Blvd Ste 600
- Bethlehem, GA
- Zip : 30620-1794
- Phone : (770) 868-5186
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 062357 | GA |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 062357 | GA |
National Provider Identifier
| NPI | 1124236187 |
|---|---|
| Provider Name | Dr. Calvin Morgan Terrelonge |
| First Address | Atlanta, GA 30374-2616 |
| Second Address | Bethlehem, GA 30620-1794 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2007 |
| Last Update Date | 14/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001514314B | (05) | GA |
| 001514314C | (05) | GA |
| 001514314D | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.