MEDICARE: MS. TERRI L. DUGGIN PT

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
1	225100000X	Physical Therapist	5795	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3113689	OTHER	TN	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316998511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TERRI L. DUGGIN PT

Provider Business Mailing Address
First Line	:	PO BOX 3325
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37602-3325
Country	:	US
Telephone Number	:	423-975-0064
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 W ANDRW JNSON HWY
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-3216
Country	:	US
Telephone Number	:	423-586-4810
Fax Number	:	423-586-4811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	09/25/2020

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