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Individual
PAUL BURT SERRELL
Active
Individual
PAUL BURT SERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD10143
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3149814
BLUE CROSS/BLUE SHIELD
TN
05
—
3723987
—
TN
01
—
390007315
RAILROAD MEDICARE
TN
Enumeration date
08/23/2005
Last updated
09/29/2020
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