Individual
AUDREY TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 PETER JEFFERSON PKWY STE 230, CHARLOTTESVILLE, VA 22911-8835
(434) 984-2400
Mailing address
1125 RAINTREE DR, CHARLOTTESVILLE, VA 22901-0905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-007651
VA
Other
Enumeration date
02/05/2020
Last updated
05/26/2022
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