Individual provider · Type 1 NPI
Ethan Brown
Student in an Organized Health Care Education/Training Program · Sugar Valley, GA
NPI number
1386562049
Active
Practice location
136 Bayview Ln NW
Sugar Valley, GA 30746-5106
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.
About NPI 1386562049
Ethan Brown's National Provider Identifier is 1386562049, issued on Jul 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sugar Valley, GA. The record was last updated on Jul 8, 2026.