Individual
DR. TERRI COOPER COLQUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MSD
Contact information
Practice address
1005 DR. D.B. TODD,JR. BLVD, MEHARRY MEDICAL COLLEGE SOD DEPT OF PERIODONTICS, NASHVILLE, TN 37208-3501
(615) 327-6300
Mailing address
1005 D.B. TODD, M.D. BLVD, MEHARRY MEDICAL COLLEGE SOD DEPT OF PERIODONTICS, NASHVILLE, TN 37204
(615) 327-6300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5385
TN
1223P0300X
Periodontics
Primary
5033
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932145
—
AL
Enumeration date
10/11/2006
Last updated
01/31/2014
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