Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Terell Willard

Individual provider Military Health Care Provider · NPI 1225893993

Terell Willard is a Military Health Care Provider in Groton, Connecticut. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1 Wahoo Ave
Groton, CT 06349-2324
Phone: (860) 694-3743
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0101286727 (VA)
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1225893993
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 20, 2024
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address1 Wahoo Ave, Groton, CT 06349-2324

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