Michael Stephen Merrill
Emergency Physician
501 S Sharon Amity Rd Ste 300
Charlotte
, North Carolina 28211
Michael Stephen Merrill
Emergency Physician
501 S Sharon Amity Rd Ste 300
Charlotte
, North Carolina 28211
(704) 377-2687
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Michael Stephen Merrill
- 501 S Sharon Amity Rd Ste 300
- Charlotte, NC
- Zip : 28211-0035
- Fax : (704) 377-2687
- Phone : (704) 377-2424
Second Address
- Michael Stephen Merrill
- 501 S Sharon Amity Rd Ste 300
- Charlotte, NC
- Zip : 28211
- Fax : (704) 377-2687
- Phone : (704) 377-2424
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 2014-002007 | NC |
National Provider Identifier
| NPI | 1013208933 |
|---|---|
| Provider Name | Michael Stephen Merrill |
| First Address | Charlotte, NC 28211-0035 |
| Second Address | Charlotte, NC 28211 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2011 |
| Last Update Date | 14/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013208933 | (05) | NC |
| 186BF | BCBS (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.