Tim R Merrell, | |
2250 Thornton Taylor Pkwy, Ste B, Fayetteville, TN 37334-3651 | |
(931) 433-9600 | |
(931) 433-9601 |
Full Name | Tim R Merrell |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot Surgery |
Location | 2250 Thornton Taylor Pkwy, Fayetteville, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396740833 | NPI | - | NPPES |
3352858 | Other | TN | PTAN |
3353598 | Medicaid | TN | |
4546250001 | Other | TN | PALMETTO |
4032931 | Other | TN | BLUECROSS BLUESHEILD TN |
480034078 | Other | TN | RAILROAD MEDICARE |
89014323 | Other | AL | BLUECROSS BLUESHEILD AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0131X | Podiatrist - Foot Surgery | 492 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tim R Merrell, 630 Happy Valley Rd, P.o. Box 327, Bell Buckle, TN 37020-4362 Ph: (931) 389-9772 | Tim R Merrell, 2250 Thornton Taylor Pkwy, Ste B, Fayetteville, TN 37334-3651 Ph: (931) 433-9600 |
Merrell Foot Clinic Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2250 Thornton Taylor Pkwy, Suite B, Fayetteville, TN 37334 Phone: 931-433-9600 Fax: 931-433-9601 |