Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | 00021383 | AL |
N | 207QA0401X | Family Doctor - Addiction Medicine | 01025784A | IN |
N | 207QA0401X | Family Doctor - Addiction Medicine | H1731 | TX |
NPI | 1023002086 |
---|---|
Provider Name | Terrence Lee Alley |
First Address | Nashville, TN 37209-6018 |
Second Address | Nashville, TN 37209-6018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2005 |
Last Update Date | 20/11/2015 |