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Contact Information

THOMAS TERRELL, MD
110 EXECUTIVE PARK DR
CLINTON, TN37716
 Phone: 865-494-9241
 Fax: 865-494-0895
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for THOMAS TERRELL · (Male)

NPI # 1083703003
Status Active
Credentials MD
Entity Individual
Enumeration date 10/11/2006
Last updated 06/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 038858
  • FL Medicaid 000352900
  • TN Medicaid 1522707
  • TN Other 4278768 BCBS TN UFP
  • TN Other 1522707 MEDICAID PTAN UFP
  • TN Other 3373352 MEDICARE GRP UFP
  • TN Other 103I083671 MEDICARE PTAN UFP
  • TN Other P00923551 RR MEDICARE UFP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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