Terry, William Jefferson
Terry, William Jefferson is an individual health care provider with primary practice located at 400 N State Of Franklin Rd , Johnson City TN 37604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Terry, William Jefferson can be contacted via phone (423) 431-6111.Contact Information
Primary practice address
400 N State Of Franklin Rd
Johnson City TN 37604
Phone: (423) 431-6111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01093639A | Indiana |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | AL30001 | Alabama |
Profile Details
| NPI number | 1134380496 |
|---|---|
| LBN Legal business name | Terry, William Jefferson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2008 |
| Last updated | Jun 13th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134380496 | NPPES |
| Alabama | MEDICAID | 149810 | |
| Alabama | Other | 511-36669 |
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