Individual provider · Type 1 NPI
Ethan Zachariah Merrow
Student in an Organized Health Care Education/Training Program · Dacula, GA
NPI number
1053820282
Active
Practice location
1701 Mulberry Lake Drive
Dacula, GA 30019
Mailing address
1701 Mulberry Lake Dr
Dacula, GA 30019-4642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Arif KhanStudent in an Organized Health Care Education/Training Program Dacula, GA NPI 1457195828
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- Falak HussainStudent in an Organized Health Care Education/Training Program Dacula, GA NPI 1740067974
About NPI 1053820282
Ethan Zachariah Merrow's National Provider Identifier is 1053820282, issued on Sep 20, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dacula, GA. The record was last updated on Jul 21, 2022.