Individual
THOMAS J TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1333 SOUTHVIEW DR, BLUEFIELD, WV 24701-4317
(304) 327-2900
(304) 327-2989
Mailing address
PO BOX 240, PIPESTEM, WV 25979-0240
(304) 327-2900
(304) 327-2989
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
27873
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066055000
—
WV
Enumeration date
10/03/2006
Last updated
07/12/2007
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