Individual
MERCY EMMANUEL ISANG
Active
Individual
MERCY EMMANUEL ISANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
Update your record
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