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NPI Code Detail

MEDICARE: JAMES L MERRELL M.D.

MEDICARE: JAMES L MERRELL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMD25632TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134115033
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES L MERRELL M.D.
Provider Business Mailing Address
First Line : 1009 NOVUS DR STE 2
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-8237
Country : US
Telephone Number : 423-283-0776
Fax Number :
Provider Business Practice Location Address
First Line : 877 JEFFERSON AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2807
Country : US
Telephone Number : 901-448-5893
Fax Number : 901-448-5540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 08/22/2023

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