Individual
DR. EDWARD J MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
821 EAST PARK STREET, HWY 70, CARLISLE, AR 72024
(870) 552-7303
(870) 552-7719
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-6530
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117581749
—
AR
05
—
184331001
—
AR
Enumeration date
07/01/2008
Last updated
07/05/2018
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