Individual
AUDREA MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 W TYRONE RD, OAK RIDGE, TN 37830-6517
(865) 482-1076
(865) 481-6166
Mailing address
665 EMORY VALLEY RD # B, OAK RIDGE, TN 37830-7762
(865) 483-3434
(865) 483-6697
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200301264
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891370N
—
NC
Enumeration date
09/16/2006
Last updated
04/20/2018
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