Individual
VICKI LYNN MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
120 HOSPITAL DR, SUITE 230, JEFFERSON CITY, TN 37760-5287
(865) 471-0312
(865) 475-2802
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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