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Individual

TERRY L FORREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101055415
VA
174400000X
Specialist
MD28939
TN
207R00000X
Internal Medicine Physician
0101055415
VA
207R00000X
Internal Medicine Physician
28939
TN
207RC0000X
Cardiovascular Disease Physician
0101055415
VA
207RC0000X
Cardiovascular Disease Physician
28939
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010214173
VA
01
183130
ANTHEM BCBS
VA
01
4111176
BCBS
TN
01
4411600
AETNA
01
TN0101
JOHN DEERE INSURANCE CO
Enumeration date
06/24/2006
Last updated
06/09/2025
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