| Doctor Name: | TERRY ANN DONOVAN |
| NPI Number: | 1295739019 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 203 |
| Business Practice Address: | 6341 Cook Ave Ste A Clemmons, NC - 270129380 |
| Business Phone Number: | 3367668400 |
| Business Fax Number: | 3367668486 |
| Mailing Address: | Po Box 268, CLEMMONS |
| State: | NC |
| Postal Code: | 270120268 |
| Phone Number: | 3367668400 |
| Fax Number: | 3367668486 |
| NPI Enumeration Date: | 06/09/2005 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 203 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |