Tim R Merrell
Foot Surgery
2250 Thornton Taylor Pkwy Ste B
Fayetteville
, Tennessee 37334-3651
Tim R Merrell
Foot Surgery
2250 Thornton Taylor Pkwy Ste B
Fayetteville
, Tennessee 37334-3651
(931) 389-9772
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Tim R Merrell
- 630 Happy Valley Rd P.o. Box 327
- Bell Buckle, TN
- Zip : 37020-4362
- Fax : (931) 389-9772
- Phone : (931) 389-9772
Second Address
- Tim R Merrell
- 2250 Thornton Taylor Pkwy Ste B
- Fayetteville, TN
- Zip : 37334-3651
- Fax : (931) 433-9601
- Phone : (931) 433-9600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 492 | TN |
National Provider Identifier
| NPI | 1396740833 |
|---|---|
| Provider Name | Tim R Merrell |
| First Address | Bell Buckle, TN 37020-4362 |
| Second Address | Fayetteville, TN 37334-3651 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2005 |
| Last Update Date | 09/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3352858 | PTAN (01) | TN |
| 3353598 | (05) | TN |
| 4032931 | BLUECROSS BLUESHEILD TN (01) | TN |
| 4546250001 | PALMETTO (01) | TN |
| 480034078 | RAILROAD MEDICARE (01) | TN |
| 89014323 | BLUECROSS BLUESHEILD AL (01) | AL |
| U72834 | (02) | TN |
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.