Individual
TERRY L HALLWACHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
988 OAK RIDGE TPKE, SUITE 100, OAK RIDGE, TN 37830-6930
(865) 483-8478
(865) 483-4194
Mailing address
308 N PETERS RD, SUITE 225, KNOXVILLE, TN 37922-2356
(865) 694-7725
(865) 483-4194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1571
TN
363AM0700X
Medical Physician Assistant
1571
TN
363AM0700X
Medical Physician Assistant
3957
GA
Other
Enumeration date
06/21/2006
Last updated
07/27/2017
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