Provider Demographics
NPI:1043985963
Name:TERRELL, JOYCE L (ATC)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:L
Last Name:TERRELL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:524 WATERFORD RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-7145
Mailing Address - Country:US
Mailing Address - Phone:678-471-4615
Mailing Address - Fax:404-921-9233
Practice Address - Street 1:WEST END WELL WERKS, LLC
Practice Address - Street 2:1062 RALPH DAVID ABERNATHY BLVD SW
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-1812
Practice Address - Country:US
Practice Address - Phone:678-471-4615
Practice Address - Fax:404-921-9233
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0495025332081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine