Individual
DR. STUART HENSHAW TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17 PARKWAY DR, FORT OGLETHORPE, GA 30742-4249
(423) 667-5371
Mailing address
726 FULTON ST APT 345, CHATTANOOGA, TN 37402-6926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12319
TN
122300000X
Dentist
Primary
DN123172
GA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/05/2023
Last updated
08/18/2023
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