Basic Information
| Provider Information | |||||||||
| NPI: | 1427279579 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MERRITT | ||||||||
| FirstName: | BRANDY | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 40480 | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366400480 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514343915 | ||||||||
| FaxNumber: | 2514343802 | ||||||||
| Practice Location | |||||||||
| Address1: | 1504 SPRING HILL AVE | ||||||||
| Address2: | SUITE 1600 | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366043207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514343915 | ||||||||
| FaxNumber: | 2514343802 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2007 | ||||||||
| LastUpdateDate: | 09/11/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 036.125693 | IL | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 32585 | AL | Y | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0203X | 32585 | AL | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Critical Care Medicine |
No ID Information.