Provider Demographics
NPI:1891981007
Name:BLM NEUROSURGERY
Entity Type:Organization
Organization Name:BLM NEUROSURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:MERIC
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:865-523-4300
Mailing Address - Street 1:9000 EXECUTIVE PARK DR
Mailing Address - Street 2:SUITE A-207
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4685
Mailing Address - Country:US
Mailing Address - Phone:865-523-4300
Mailing Address - Fax:865-523-4100
Practice Address - Street 1:9000 EXECUTIVE PARK DR
Practice Address - Street 2:SUITE A-207
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4685
Practice Address - Country:US
Practice Address - Phone:865-523-4300
Practice Address - Fax:865-523-4100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN018355207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty