Individual
MERRITT MCCOY TOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9404 HIGHWAY 78 STE 100, LADSON, SC 29456-3909
(843) 737-0437
(843) 789-3053
Mailing address
9404 HIGHWAY 78 STE 100, LADSON, SC 29456-3909
(843) 737-0437
(843) 789-3053
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
16788
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
16788
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167884
—
SC
Enumeration date
12/13/2019
Last updated
05/02/2024
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