Terrell, Thomas

Terrell, Thomas is an individual health care provider with primary practice located at 110 Executive Park Dr , Clinton TN 37716. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Terrell, Thomas can be contacted via phone (865) 494-9241.

Contact Information

Primary practice address
110 Executive Park Dr Clinton TN 37716
Phone: (865) 494-9241
Fax: (865) 494-0895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 038858 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 038858 Tennessee

Profile Details

NPI number 1083703003
LBN Legal business name Terrell, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jun 1st, 2018 - about 7 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 1083703003 NPPES
Tennessee Other 1522707 MEDICAID PTAN UFP
Tennessee Other P00923551 MEDICAID PTAN UFP
Tennessee MEDICAID 1522707 MEDICAID PTAN UFP
Tennessee Other 3373352 MEDICAID PTAN UFP
Tennessee Other 103I083671 MEDICAID PTAN UFP
Tennessee MEDICAID 000352900 MEDICAID PTAN UFP
Tennessee Other 4278768 MEDICAID PTAN UFP

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