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Individual
GREGORY W MERRITT
Active
Individual
GREGORY W MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
09640
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115630
—
MS
05
—
009936058
—
AL
01
—
1559011
AMERICAN ADMIN GROUP
MS
05
—
1974625
—
LA
01
—
370009685
RAILROAD MEDICARE
MS
Enumeration date
08/20/2006
Last updated
03/30/2021
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