Provider Demographics
NPI:1801932488
Name:GRINDER, TERRY WEBB (DPH)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:WEBB
Last Name:GRINDER
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:723 GARRISON RD
Mailing Address - Street 2:
Mailing Address - City:HOHENWALD
Mailing Address - State:TN
Mailing Address - Zip Code:38462-2332
Mailing Address - Country:US
Mailing Address - Phone:931-796-3973
Mailing Address - Fax:931-796-7463
Practice Address - Street 1:500 JAMES ROBERTSON PKWY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-1149
Practice Address - Country:US
Practice Address - Phone:615-741-2718
Practice Address - Fax:615-741-2722
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5819183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist