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NPI Code Detail

MEDICARE: SAMANTHA SORROW MERRITT

MEDICARE: SAMANTHA SORROW MERRITT
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine PhysicianLL89883SC

General Provider Information

NPI Number : 1104521848
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA SORROW MERRITT
Provider Business Mailing Address
First Line : 300 E MCBEE AVE STE 300
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2899
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 701 GROVE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4210
Country : US
Telephone Number : 864-455-7882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 06/03/2026

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Directions to “ SAMANTHA SORROW MERRITT ” Practice Location

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