Colotta, Terry Andrew

Colotta, Terry Andrew is an individual health care provider with primary practice located at 205 Hospital Dr Ste A, Mc Kenzie TN 38201-1649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Colotta, Terry Andrew can be contacted via phone (731) 352-7907.

Contact Information

Primary practice address
205 Hospital Dr Ste A Mc Kenzie TN 38201-1649
Phone: (731) 352-7907
Fax: (731) 352-4459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD23833 Tennessee

Profile Details

NPI number 1659374296
LBN Legal business name Colotta, Terry Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Apr 14th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659374296 NPPES
Tennessee MEDICAID 3070413
Tennessee Other MD23833
Tennessee Other PPRVPK9FO

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