TERELL WILLARD

General Practice

Active Individual
NPI: 1225893993

Practice Address

1 WAHOO AVE
Groton, CT 06349

Phone: (860) 694-3743

Specialties

Specialty Code Primary License
Military Health Care Provider 171000000X No -
General Practice 208D00000X Yes 0101286727 (VA)

Frequently Asked Questions

NPI 1225893993 is the National Provider Identifier for TERELL WILLARD, a General Practice provider located in Groton, CT. This NPI was enumerated on February 20, 2024.
TERELL WILLARD practices at 1 WAHOO AVE, Groton, CT 06349.

Quick Facts

NPI
1225893993
Type
Individual
Enumerated
Feb 20, 2024
Last Updated
Nov 18, 2025

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