Merrifield, Angela S

Merrifield, Angela S is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 140, Johnson City TN 37604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Merrifield, Angela S can be contacted via phone (423) 794-5530.

Contact Information

Primary practice address
301 Med Tech Pkwy Ste 140 Johnson City TN 37604
Phone: (423) 794-5530
Fax: (423) 928-1685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26617 Tennessee

Profile Details

NPI number 1124025408
LBN Legal business name Merrifield, Angela S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Apr 14th, 2020 - about 4 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 1124025408 NPPES
Tennessee MEDICAID 3092752

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