Individual
MICHAEL STEPHEN MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2014-002007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013208933
—
NC
01
—
186BF
BCBS
NC
Enumeration date
04/26/2011
Last updated
05/14/2021
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