Individual
DR. WILLIAM TERRELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1444 E SHELBY DR, STE 317, MEMPHIS, TN 38116-7257
(901) 396-8281
(901) 396-7535
Mailing address
1444 E SHELBY DR, STE 317, MEMPHIS, TN 38116-7257
(901) 396-8281
(901) 396-7535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8386
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3054411
BLUE CROSS BLUE SHIELD
TN
05
—
3162785
—
TN
Enumeration date
06/09/2005
Last updated
07/08/2007
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