Individual
DR. BRYAN HALE MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 HOSPITAL DR, STE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Mailing address
205 HOSPITAL DR, STE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15682
TN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD15682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3011498
—
TN
05
—
3380640
—
TN
01
—
MD15682
MEDICAL LICENSE NUMBER
TN
Enumeration date
05/24/2005
Last updated
03/01/2019
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