Individual
DAVID L MERRIFIELD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 PRINCETON RD, JOHNSON CITY, TN 37601-2028
(423) 854-5880
(423) 854-5685
Mailing address
PO BOX 5789, JOHNSON CITY, TN 37602-5789
(423) 915-1126
(423) 915-0635
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26618
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510289
—
TN
05
—
3818081
—
TN
05
—
7100143500
—
KY
Enumeration date
10/23/2006
Last updated
03/25/2011
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