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NPI Code Detail

MEDICARE: TERRY L FORREST M.D.

MEDICARE: TERRY L FORREST M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistMD28939TN
2207R00000XInternal Medicine Physician0101055415VA
3207R00000XInternal Medicine Physician28939TN
4207RC0000XCardiovascular Disease Physician0101055415VA
5207RC0000XCardiovascular Disease Physician28939TN
6174400000XSpecialist0101055415VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2183130OTHERVAANTHEM BCBS
34411600OTHERAETNA
4TN0101OTHERJOHN DEERE INSURANCE CO
54111176OTHERTNBCBS

General Provider Information

NPI Number : 1285660944
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY L FORREST M.D.
Provider Business Mailing Address
First Line : 1021 W OAKLAND AVE STE 310
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-2192
Country : US
Telephone Number : 423-952-2111
Fax Number : 423-282-1657
Provider Business Practice Location Address
First Line : 2050 MEADOWVIEW PKWY
Second Line :
City : KINGSPORT
State : TN
Zip : 37660-7475
Country : US
Telephone Number : 423-230-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 06/09/2025

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