Individual
TERRY D HENGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-7077
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10970
MN
363A00000X
Physician Assistant
2583
MN
363A00000X
Physician Assistant
Primary
4696
TN
363AM0700X
Medical Physician Assistant
0010-04315
NC
363AM0700X
Medical Physician Assistant
2291
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P00996321
RAILROAD MEDICARE
MN
Enumeration date
11/23/2005
Last updated
03/16/2022
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