Individual
WILLIAM JEFFERSON TERRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604
(423) 431-6111
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01093639A
IN
208800000X
Urology Physician
Primary
AL30001
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149810
—
AL
01
—
511-36669
BLUE CROSS BLUE SHEILD OF ALABAMA
AL
Enumeration date
06/19/2008
Last updated
06/13/2024
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