Individual
TERRELL PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2455 SUTHERLAND AVE BLDG B, KNOXVILLE, TN 37919-2355
(865) 558-9040
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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