Individual
0SUSAN KELLY MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
170 CHURCH ST, DUNLAP, TN 37327-3710
(423) 949-3619
(423) 949-6507
Mailing address
PO BOX 132, DUNLAP, TN 37327-0132
(423) 949-3619
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000057976
TN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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