Individual
DR. FREDERICK A. MERRILL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
465 N BELAIR RD, SUITE 1C, EVANS, GA 30809-3188
(706) 854-2160
(706) 854-2930
Mailing address
465 N BELAIR RD, SUITE 1C, EVANS, GA 30809-3188
(706) 854-2160
(706) 854-2930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
034664
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473327G
—
GA
Enumeration date
08/07/2006
Last updated
07/09/2007
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