Individual
MARK MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
32 SPINNAKER COVE DR, MIDLOTHIAN, VA 23112-2131
(804) 893-1921
Mailing address
32 SPINNAKER COVE DR, MIDLOTHIAN, VA 23112-2131
(804) 893-1921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102036971
VA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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