Individual
TERESA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9430 PARK WEST BLVD STE 335, KNOXVILLE, TN 37923-4206
(865) 693-6065
Mailing address
9430 PARK WEST BLVD STE 335, KNOXVILLE, TN 37923-4206
(865) 693-6065
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1973
TN
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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