Terell Willard
General Practice in Groton, Connecticut
1225893993- Practice location
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone
- 860-694-3743
- Fax
- —
- Last updated
- November 18, 2025
Terell Willard is a General Practice based in Groton, CT. Terell Willard practices in Groton, CT. The NPI Number for Terell Willard is 1225893993 and holds a License No. 0101286727 (VA). The current practice location address for Terell Willard is 1 Wahoo Ave, Groton, CT 06349-2324 and can be reached out via phone at 860-694-3743.
Provider Profile Details
- NPI Number
- 1225893993
- Provider Name
- Terell Willard
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone Number
- 860-694-3743
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 20, 2024
- Last Update Date
- November 18, 2025
- Certification Date
- November 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Wahoo Ave
Groton, CT 06349-2324 - City
- Groton
- State
- Connecticut
- Zip
- 06349-2324
- Phone Number
- 860-694-3743
Provider Business Mailing Address Details
- Address
- 1 Wahoo Ave
Groton, CT 06349-2324 - City
- Groton
- State
- CT
- Zip
- 06349-2324
License Information
- Taxonomy (1)
- Military Health Care Provider · 171000000X
- License Number (2)
- 0101286727
- License State (2)
- VA
- Taxonomy (2)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near Groton, CT
View all General Practice providers in Groton →- Adam Wahl, MDGeneral Practice · NPI 1548969579
- Dr. David G Southerland, MDGeneral Practice · NPI 1932260965
- Dr. Justin C Gunn, MDGeneral Practice · NPI 1518584432
- Galen A Golden, DOGeneral Practice · NPI 1417692997
- Kilbourn Gordon III, MDGeneral Practice · NPI 1952455693
- Thomas RogersGeneral Practice · NPI 1699414763
Frequently Asked Questions
What is the NPI number of Terell Willard?
The NPI number of Terell Willard is 1225893993. It was assigned on February 20, 2024 and is currently active in the NPPES registry.
What is the specialty of Terell Willard?
Terell Willard is registered under the primary taxonomy General Practice (code 208D00000X), licensed in VA under license number 0101286727.
Where does Terell Willard practice?
The practice location is 1 Wahoo Ave, Groton, CT 06349-2324. The office can be reached at 860-694-3743 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225893993 directly on the NPPES registry website.