Most Relevant Information
Provider Data
| NPI Number: | 1003282658 |
| Provider Name: | GLADYS L. L TERRELL, PHD, RN. PHD, NUTRITION , RN |
| Entity Type: | Individual |
| Taxonomy Code: | 133N00000X |
| Specialty: | Nutritionist |
| License Number: | PHD |
Most Important Dates
| Enumeration Date: | 08/18/2015 |
| Last Updated: | 09/30/2024 |
Provider Practice Location
1012 SUMMERCREST CT
ANTIOCH
TN
370131581
Practice Location Phone/Fax
| Phone: | 6156531272 |
| Fax: | 6156531272 |
Provider Mailing Location
1012 SUMMERCREST CT
ANTIOCH
TN
370131581
Provider Mailing Phone/Fax
| Phone: | 6156531272 |
| Fax: | 6156531272 |