Individual
MRS. ALLISON KIRKLAND TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC A
Contact information
Practice address
5147 N 9TH AVE, MEDICAL MALL STE. 315, PENSACOLA, FL 32504-8771
(850) 473-0112
(850) 473-0118
Mailing address
5147 N 9TH AVE, MEDICAL MALL STE. 315, PENSACOLA, FL 32504-8771
(850) 473-0112
(850) 473-0118
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
862A
AL
231H00000X
Audiologist
Primary
AY1662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009940860
—
AL
01
—
51500071
BCBS PROVIDER NUMBER
AL
Enumeration date
12/13/2006
Last updated
02/01/2011
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