Provider Demographics
NPI:1720825300
Name:TERRAZZINO, ABIGAIL S
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:S
Last Name:TERRAZZINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 SKI MOUNTAIN RD APT 627
Mailing Address - Street 2:
Mailing Address - City:GATLINBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37738-3842
Mailing Address - Country:US
Mailing Address - Phone:865-206-4084
Mailing Address - Fax:
Practice Address - Street 1:1235 SKI MOUNTAIN RD APT 627
Practice Address - Street 2:
Practice Address - City:GATLINBURG
Practice Address - State:TN
Practice Address - Zip Code:37738-3842
Practice Address - Country:US
Practice Address - Phone:865-206-4084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN201768171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter