Individual
MRS. SUSAN MAVITY MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
540 MCCALLIE AVE, SUITE 450, CHATTANOOGA, TN 37402-2089
(423) 634-3124
(423) 634-3139
Mailing address
1025 HUDSON AVE, JASPER, TN 37347-2824
(423) 942-2894
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
45221
TN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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