Individual
TERRY L SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1103 EAST LAMAR ALEXANDER PARKWAY, BLDG 2, STE 103, MARYVILLE, TN 37804
(865) 285-9284
(888) 491-4597
Mailing address
1103 EAST LAMAR ALEXANDER PARKWAY, BLDG 2, STE 103, MARYVILLE, TN 37804
(865) 285-9284
(888) 491-4597
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
16534
TN
363LF0000X
Family Nurse Practitioner
16534
TN
Other
Enumeration date
03/13/2012
Last updated
06/14/2021
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