MEDICARE: DR. TERRANCE CARL NOWELL MD

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	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	0000060107	TN
2	207L00000X	Anesthesiology Physician	0000060107	TN

General Provider Information

NPI Number	:	1518463561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRANCE CARL NOWELL MD

Provider Business Mailing Address
First Line	:	1924 ALCOA HWY # U-109
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-6900
Country	:	US
Telephone Number	:	865-305-9220
Fax Number	:	865-305-9216

Provider Business Practice Location Address
First Line	:	1924 ALCOA HWY # U-109
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-6900
Country	:	US
Telephone Number	:	865-305-9220
Fax Number	:	865-305-9216

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

Provider Enumeration Date	:	03/30/2018
Last Update Date	:	08/20/2024

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