Provider Demographics
NPI:1649205584
Name:CURTIS, TERRY R (MD)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:R
Last Name:CURTIS
Suffix:
Gender:M
Credentials:MD
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Other - Middle Name:
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Mailing Address - Street 1:353 NEW SHACKLE ISLAND RD
Mailing Address - Street 2:SUITE 141-C
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2379
Mailing Address - Country:US
Mailing Address - Phone:615-826-3100
Mailing Address - Fax:615-447-1060
Practice Address - Street 1:353 NEW SHACKLE ISLAND RD
Practice Address - Street 2:SUITE 141-C
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2379
Practice Address - Country:US
Practice Address - Phone:615-826-3100
Practice Address - Fax:615-447-1060
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-10-10
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Provider Licenses
StateLicense IDTaxonomies
TN16896207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNA98338Medicare UPIN