Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DS2106 | TN |
NPI | 1134380033 |
---|---|
Provider Name | Dr. Terence C Hilger |
First Address | Millington, TN 38054-5028 |
Second Address | Millington, TN 38054-5028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 23/06/2008 |