Terrell, Robert Edward

Terrell, Robert Edward is an individual health care provider with primary practice located at 3635 Bienville Blvd , Ocean Springs MS 39564-5711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Terrell, Robert Edward can be contacted via phone (228) 875-1849.

Contact Information

Primary practice address
3635 Bienville Blvd Ocean Springs MS 39564-5711
Phone: (228) 875-1849
Fax: (228) 875-6257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15129 Mississippi
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 15129 Mississippi

Profile Details

NPI number 1033137112
LBN Legal business name Terrell, Robert Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 22nd, 2017 - about 8 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 1033137112 NPPES
Mississippi MEDICAID 00117983

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