Basic Information
Provider Information
NPI: 1639160138
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARRETT
FirstName: TERRENCE
MiddleName: JOSEPH
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3601 TVC
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372320001
CountryCode: US
TelephoneNumber: 6153223000
FaxNumber:  
Practice Location
Address1: VANDERBILT UNIV. MEDICAL CENTER 3601 TVC
Address2:  
City: NASHVILLE
State: TN
PostalCode: 37232
CountryCode: US
TelephoneNumber: 6153223000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/02/2005
LastUpdateDate: 08/30/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X02002844AINN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202XDO0000001991TNY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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