Healthcare Provider Details
I. General information
NPI: 1497809891
Provider Name (Legal Business Name): TERRI LYNN HUNTER-WALKER MD MS PH
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/22/2007
Last Update Date: 01/31/2020
Certification Date: 01/31/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
983 NISSAN DR
SMYRNA TN
37167-4405
US
IV. Provider business mailing address
2131 THOMPSON RD
MURFREESBORO TN
37128-6317
US
V. Phone/Fax
- Phone: 615-459-1944
- Fax: 615-459-1898
- Phone: 615-294-1020
- Fax: 615-294-1020
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | MD024971 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | 02497 |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | 02497 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: