Individual
DR. KEVIN SAM MERIGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2849 COLLIERVILLE ARLINGTON N, EADS, TN 38028-9320
(901) 867-1018
(901) 867-1065
Mailing address
PO BOX 205, EADS, TN 38028-0205
(901) 867-1018
(901) 867-1065
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21904
TN
208U00000X
Clinical Pharmacology Physician
21904
TN
209800000X
Legal Medicine (M.D./D.O.) Physician
21904
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4028971
BLUE CROSS BLUE SHIELD
TN
Enumeration date
02/06/2007
Last updated
07/02/2020
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