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Individual

MR. TERRY LEE WESTBROOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
16000 JOHNSTON MEMORIAL DR STE 100, ABINGDON, VA 24211-7664
(276) 477-1443
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
363A00000X
Physician Assistant
0110009945
VA
363A00000X
Physician Assistant
Primary
5765
TN
363A00000X
Physician Assistant
PA-3411
CO

Other

Enumeration date
08/13/2007
Last updated
01/23/2025
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