Provider Demographics
NPI:1437122124
Name:MERRIFIELD, TERRY STRYKER (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:STRYKER
Last Name:MERRIFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 SADLER WAY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5946
Mailing Address - Country:US
Mailing Address - Phone:316-648-8504
Mailing Address - Fax:316-440-2750
Practice Address - Street 1:49 SADLER WAY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5946
Practice Address - Country:US
Practice Address - Phone:316-648-8504
Practice Address - Fax:316-440-2750
Is Sole Proprietor?:No
Enumeration Date:2006-02-11
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0416879207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B68151Medicare UPIN
B68151Medicare UPIN