Provider Demographics
NPI:1053882886
Name:EYERLY, TERRANCE M JR (DC)
Entity type:Individual
Prefix:DR
First Name:TERRANCE
Middle Name:M
Last Name:EYERLY
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 GUNBARREL RD STE 107
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-7254
Mailing Address - Country:US
Mailing Address - Phone:423-541-1835
Mailing Address - Fax:
Practice Address - Street 1:1829 GUNBARREL RD STE 107
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-7254
Practice Address - Country:US
Practice Address - Phone:423-541-1835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3156111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor