Merrick, Bryan Hale

Merrick, Bryan Hale is an individual health care provider with primary practice located at 205 Hospital Dr Ste A, Mc Kenzie TN 38201-1649. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Merrick, Bryan Hale can be contacted via phone (731) 352-7907.

Contact Information

Primary practice address
205 Hospital Dr Ste A Mc Kenzie TN 38201-1649
Phone: (731) 352-7907
Fax: (731) 352-4459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD15682 Tennessee
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD15682 Tennessee

Profile Details

NPI number 1467455287
LBN Legal business name Merrick, Bryan Hale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467455287 NPPES
Tennessee MEDICAID 3011498
Tennessee MEDICAID 3380640
Tennessee Other MD15682

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