Organization
WILLIAM BOOTHE MERRICK WBM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BOOTHE MERRICK (OWNER)
(731) 415-0724
Entity
Organization
Contact information
Practice address
270 SIXTEENTH FAIRWARY, MCKENZIE, TN 38201
(731) 415-0724
Mailing address
270 SIXTEENTH FAIRWARY, MCKENZIE, TN 38201
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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