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Individual

DR. FRED MERKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
153 ROSS CARTER, DUFFIELD, VA 24244
(276) 431-2648
(276) 431-2082
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201342
VA
207Q00000X
Family Medicine Physician
DO 00988
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3307388
TN
05
5646693
VA
Enumeration date
05/23/2005
Last updated
09/22/2009
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