Individual
TERRY BRETT WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 792-9282
Mailing address
14468 HARGROVE RD E, COTTONDALE, AL 35453-3408
(205) 792-9282
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-141048
AL
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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