Thomas Terrell is a Sports Medicine in Clinton, Tennessee. Thomas Terrell practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Thomas Terrell is 1083703003. The last update date is 2018-06-01.
Thomas Terrell's current location address is 110 Executive Park Dr, Clinton, Tennessee. You can contact this provider via phone number 8654949241 and fax number 8654940895. The mailing address for Thomas Terrell is 110 Executive Park Dr, Clinton, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Terrell |
|---|---|
| Address | 110 Executive Park Dr, Clinton, Tennessee |
| Phone Number | 8654949241 |
| Fax Number | 8654940895 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083703003 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2018-06-01 |
Provider Mailing Address Detail
| Address | 110 Executive Park Dr |
|---|---|
| City | Clinton |
| State | Tennessee (TN) |
| Post Code | 377166876 |
| Phone Number | 8654949241 |
| Fax Number | 8654940895 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 38858 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1522707 | TN | MEDICAID PTAN UFP | |
| P00923551 | TN | RR MEDICARE UFP | |
| 1522707 | TN | -- | |
| 3373352 | TN | MEDICARE GRP UFP | |
| 103I083671 | TN | MEDICARE PTAN UFP | |
| 352900 | FL | -- | |
| 4278768 | TN | BCBS TN UFP |
Post Comment/ Review Below
What is the Thomas Terrell's 1083703003?
The Thomas Terrell's NPI (National Provider Identifier) Number is 1083703003. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Thomas Terrell is geographically located?
The Thomas Terrell is physically situated at the following location: 110 Executive Park Dr, Clinton, TN, 377166876.
What is Thomas Terrell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas Terrell's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
When did the Thomas Terrell receive its 1083703003?
The Thomas Terrell was issued its 1083703003 on 2006-10-11, which is the date when the organization was assigned this unique identifier.
When was the information regarding Thomas Terrell most recently updated?
The details pertaining to the Thomas Terrell, including its address, specialty, and other relevant information, were last refreshed on 2018-06-01.
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