Individual
TERRY HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1206 HIGHWAY 411, VONORE, TN 37885-2455
(423) 884-7271
(423) 884-3277
Mailing address
PO BOX 278, MADISONVILLE, TN 37354-0278
(423) 442-2622
(423) 442-5760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2423
TN
207Q00000X
Family Medicine Physician
DO105391
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10851741
CAQH
—
05
—
246965412
—
MO
01
—
4343153
BCBS OF TN
TN
01
—
P01133007
MEDICARE RR
TN
05
—
Q000117
—
TN
Enumeration date
03/08/2007
Last updated
05/18/2022
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