Individual
TERRY L FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
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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