Individual
RAYMOND DANIEL MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 N STATE OF FRANKLIN RD, SUITE 400, JOHNSON CITY, TN 37604-6008
(423) 979-6000
(423) 979-6011
Mailing address
310 N STATE OF FRANKLIN RD, SUITE 400, JOHNSON CITY, TN 37604-6008
(423) 979-6000
(423) 979-6011
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101237024
VA
207RC0000X
Cardiovascular Disease Physician
Primary
MD17955
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515622
—
TN
05
—
1588620108
—
VA
05
—
3891810
—
TN
01
—
P00104592
RAILROAD MEDICARE
TN
01
—
P00844319
RAILROAD MEDICARE
TN
Enumeration date
04/22/2006
Last updated
02/16/2017
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