Individual
DR. TERAH C ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
145 W 4TH ST STE 102, COOKEVILLE, TN 38501-2476
(931) 783-5515
(931) 783-5513
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
P4580
TX
208C00000X
Colon & Rectal Surgery Physician
04-42832
KS
208C00000X
Colon & Rectal Surgery Physician
Primary
61228
TN
208C00000X
Colon & Rectal Surgery Physician
P4580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023220316
—
NV
05
—
Q057848
—
TN
Enumeration date
05/07/2007
Last updated
04/06/2023
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