Provider Demographics
NPI:1730105610
Name:ADAMS, TERRY LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:LEE
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22010
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37933-0010
Mailing Address - Country:US
Mailing Address - Phone:865-218-7470
Mailing Address - Fax:865-218-7471
Practice Address - Street 1:9217 PARK WEST BLVD
Practice Address - Street 2:SUITE C-2
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4404
Practice Address - Country:US
Practice Address - Phone:865-218-7470
Practice Address - Fax:865-218-7471
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD013554208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0060059OtherBLUECROSS BLUESHIELD
TN3020822Medicaid
TN3020822Medicaid
TN0060059OtherBLUECROSS BLUESHIELD