Individual
DR. TERRY LEE CORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
88 MDG, 4881 SUGAR MAPLE DR., WRIGHT-PATTERSON AFB, OH 45433-5529
(937) 938-2768
(937) 904-8753
Mailing address
88 MDG, 4881 SUGAR MAPLE DR., WRIGHT-PATTERSON AFB, OH 45433-5529
(937) 938-2768
(937) 904-8753
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34-00-6456-C
OH
Other
Enumeration date
11/17/2006
Last updated
03/28/2018
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