Basic Information
| Provider Information | |||||||||
| NPI: | 1093219305 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCGILL | ||||||||
| FirstName: | TERRANCE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8787 HALL RD | ||||||||
| Address2: | |||||||||
| City: | LAMONT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932411953 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6618453731 | ||||||||
| FaxNumber: | 6618451157 | ||||||||
| Practice Location | |||||||||
| Address1: | 8787 HALL RD | ||||||||
| Address2: | |||||||||
| City: | LAMONT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932411953 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6618453731 | ||||||||
| FaxNumber: | 6618451157 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2018 | ||||||||
| LastUpdateDate: | 06/23/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A173442 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.