Provider Demographics
NPI:1750354544
Name:TERRELL, JOE F (M D)
Entity type:Individual
Prefix:DR
First Name:JOE
Middle Name:F
Last Name:TERRELL
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
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Mailing Address - Street 1:7420 SPANISH FORT BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-5350
Mailing Address - Country:US
Mailing Address - Phone:251-626-6757
Mailing Address - Fax:251-626-6758
Practice Address - Street 1:1121 BELLEVILLE AVE
Practice Address - Street 2:
Practice Address - City:BREWTON
Practice Address - State:AL
Practice Address - Zip Code:36426-1505
Practice Address - Country:US
Practice Address - Phone:251-809-3130
Practice Address - Fax:251-809-3135
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2020-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL6698207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL00006306Medicaid
70457Medicare UPIN
AL51006306TERMedicare PIN