Individual
TRACY ALAN MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1747 MEDICAL CENTER PKWY, SUITE 100, MURFREESBORO, TN 37129-2563
(615) 848-1902
(615) 848-0721
Mailing address
925 S CHURCH ST, STE A100, MURFREESBORO, TN 37130-4958
(615) 848-1902
(615) 848-0721
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000484
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3352573
—
TN
01
—
4038849
BCBS
TN
01
—
4663010001
PALMETTO
TN
Enumeration date
11/16/2005
Last updated
12/15/2021
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