| Christian Terzian, Md, Pllc | |
|
919 E Central Ave Ste 101b La Follette TN 37766-2778 | |
| (423) 566-8283 | |
| Not Available |
| Full Name | Christian Terzian, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 919 E Central Ave Ste 101b, La Follette, Tennessee |
| Authorized Official Name and Position | Brian Leach (MANAGER) |
| Authorized Official Contact | 4235668283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Terzian, Md, Pllc 2435 Jacksboro Pike La Follette TN 37766-2910 Ph: (423) 566-2250 | Christian Terzian, Md, Pllc 919 E Central Ave Ste 101b La Follette TN 37766-2778 Ph: (423) 566-8283 |
| NPI Number | 1912578824 |
|---|---|
| Provider Enumeration Date | 07/02/2021 |
| Last Update Date | 07/02/2021 |
| Medicare PECOS PAC ID | 2466857339 |
|---|---|
| Medicare Enrollment ID | O20210817000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912578824 | NPI | - | NPPES |
| 1505396 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Christian Terzian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639336662 PECOS PAC ID: 6608948427 Enrollment ID: I20080710000307 |
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