person
Tim R Merrell
Foot Surgery Podiatrist in Fayetteville, Tennessee
NPI 1396740833

Tim R Merrell is a Foot Surgery Podiatrist based in Bell Buckle, TN and is specialized in Foot Surgery. Tim R Merrell practices in Fayetteville, TN. The NPI Number for Tim R Merrell is 1396740833 and holds a License No. 492 (Tennessee).

The current practice location address for Tim R Merrell is 2250 Thornton Taylor Pkwy, Fayetteville, TN and can be reached out via phone at 931-433-9600 and via fax at 931-433-9601. You can also correspond with Tim R Merrell through the mailing address at 630 HAPPY VALLEY RD, BELL BUCKLE, TN - 37020-4362 (mailing address contact number: 931-389-9772).

Location: 2250 Thornton Taylor Pkwy, Fayetteville, TN, 37020-4362
person
Provider Profile Details
NPI Number
1396740833
Provider Name
Tim R Merrell
Credential
Provider Entity Type
Individual
Gender
Male
Address
2250 Thornton Taylor Pkwy, Fayetteville, TN, 37020-4362
Phone Number
931-433-9600
Fax Number
931-433-9601
Provider Enumeration Date
06/20/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3352858 01 TN PTAN
3353598 05 TN
4546250001 01 TN PALMETTO
4032931 01 TN BLUECROSS BLUESHEILD TN
480034078 01 TN RAILROAD MEDICARE
89014323 01 AL BLUECROSS BLUESHEILD AL
institution
Provider Business Practice Location Address Details
Address
2250 Thornton Taylor Pkwy
City
State
Zip
37334-3651
Phone Number
931-433-9600
Fax Number
931-433-9601
person
Provider Business Mailing Address Details
Address
2250 Thornton Taylor Pkwy
City
State
Zip
37334-3651
Phone Number
931-433-9600
Fax Number
931-433-9601
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
492 (Tennessee)
Definition
Definition to come...
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