Susan Ellen Merrill in Charlotte - Physician Assistant
Susan Ellen Merrill - NPI 1760462485
Susan Ellen Merrill is a Physician Assistant in Charlotte, North Carolina. Susan Ellen Merrill practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan Ellen Merrill is 1760462485. The last update date is 2023-03-07.
Susan Ellen Merrill's current location address is 6911-100 Shannon Willow Rd, Charlotte, North Carolina. You can contact this provider via phone number 7045294101 and fax number 7045296655. The mailing address for Susan Ellen Merrill is 6911-100 Shannon Willow Rd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Ellen Merrill |
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Address | 6911-100 Shannon Willow Rd, Charlotte, North Carolina |
Phone Number | 7045294101 |
Fax Number | 7045296655 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1760462485 |
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Provider Enumeration Date | 2006-01-19 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 6911-100 Shannon Willow Rd |
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City | Charlotte |
State | North Carolina (NC) |
Post Code | 28226 |
Phone Number | 7045294101 |
Fax Number | 7045296655 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 1016582 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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8101095 | NC | -- | |
1016582 | NCCPA | ||
101951 | NC | NC LIC # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Ellen Merrill?
The Susan Ellen Merrill has been issued the NPI (National Provider Identifier) 1760462485 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Susan Ellen Merrill located?
The Susan Ellen Merrill is located at 6911-100 Shannon Willow Rd, Charlotte, NC 28226.
What is Susan Ellen Merrill's area of expertise and its corresponding taxonomy classification?
The Susan Ellen Merrill's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the Susan Ellen Merrill's 1760462485 issued?
The Susan Ellen Merrill's 1760462485 was issued on 2006-01-19.
When was the information pertaining to Susan Ellen Merrill most recently updated or revised?
The details related to Susan Ellen Merrill, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.