Healthcare Provider Details

I. General information

NPI: 1043829484
Provider Name (Legal Business Name): ALORA TERRY MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 07/30/2020
Certification Date: 07/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 WHITE AVE
KNOXVILLE TN
37916-2300
US

IV. Provider business mailing address

810 CENTEROAK DR
KNOXVILLE TN
37920-5234
US

V. Phone/Fax

Practice location:
  • Phone: 865-331-4982
  • Fax:
Mailing address:
  • Phone: 256-221-7519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number374
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: