Individual
DR. TERSA L LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
705 MAIN ST STE 2, OLIVER SPRINGS, TN 37840-1761
(865) 280-1466
(865) 280-1469
Mailing address
705 MAIN ST STE 2, OLIVER SPRINGS, TN 37840-1761
(865) 280-1466
(865) 280-1469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO0000001321
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3306430
—
TN
Enumeration date
04/25/2006
Last updated
04/16/2024
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