Most Relevant Information
Provider Data
| NPI Number: | 1003386020 |
| Provider Name: | TERRY PUGH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/03/2018 |
| Last Updated: | 03/12/2019 |
Provider Practice Location
11616 SOUTHFORK AVE STE 401
BATON ROUGE
LA
708165241
Practice Location Phone/Fax
| Phone: | 2257764381 |
| Fax: |
Provider Mailing Location
58025 GAY ST
PLAQUEMINE
LA
707644221
Provider Mailing Phone/Fax
| Phone: | 2257250435 |
| Fax: |