Organization
MERRELL FOOT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARNIE LEE MERRELL (PRESIDENT)
(931) 389-9772
Entity
Organization
Contact information
Practice address
2250 THORNTON TAYLOR PKWY, SUITE B, FAYETTEVILLE, TN 37334-3651
(931) 433-9600
(931) 433-9601
Mailing address
PO BOX 327, BELL BUCKLE, TN 37020-0327
(931) 389-9772
(931) 389-9772
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
492
TN
Other
Enumeration date
02/06/2007
Last updated
11/08/2010
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