Individual
DR. JENNIFER S TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8800 N TRYON ST, CHARLOTTE, NC 28262-3300
(704) 376-7362
(704) 376-1939
Mailing address
3101 LATROBE DR, CHARLOTTE, NC 28211-4849
(704) 376-7362
(704) 376-1939
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
200100862
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891295X
—
NC
05
—
Q0086G
—
SC
Enumeration date
01/12/2006
Last updated
02/15/2010
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