Individual
TERRELL JENRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 CHATTAHOOCHEE DR, ROCKMART, GA 30153-2023
(770) 684-7846
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94161
GA
207Q00000X
Family Medicine Physician
UNKNOWN
GA
Other
Enumeration date
03/07/2020
Last updated
06/28/2023
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