Individual
MERCY EMMANUEL ISANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
114 N DUNCAN ST, JAMESTOWN, TN 38556-3100
(931) 879-6293
(931) 879-9007
Mailing address
PO BOX 405674, ATLANTA, GA 30384-5674
(931) 879-6293
(931) 879-9007
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
050528
GA
2084P0800X
Psychiatry Physician
Primary
36533
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4082484
BLUE CROSS PROVIDER #
TN
Enumeration date
11/12/2006
Last updated
08/31/2012
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