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ETHAN ZACHARIAH MERROW
NPI 1053820282
Student in an Organized Health Care Education/Training Program in Dacula, GA

Active since September 20, 2017
1701 MULBERRY LAKE DRIVE, DACULA, GA 30019(770) 712-4910 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 20, 2017 (2 updates tracked since 2017).

About Ethan Zachariah Merrow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN ZACHARIAH MERROW (NPI 1053820282) is an individual student in an organized health care education/training program in Dacula, Georgia and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1053820282
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN ZACHARIAH MERROW
Location Address1701 MULBERRY LAKE DRIVEDacula, GA 30019
Mailing Address1701 Mulberry Lake DrDacula, GA 30019-4642 · (770) 712-4910
Phone(770) 712-4910
Sole ProprietorYes
Enumeration DateSeptember 20, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1053820282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
1701 MULBERRY LAKE DRIVE, Dacula, GA 30019
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Other Identifiers 1

Other390200000XChris Linker Atc Lat

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Merrow's NPI number?

The NPI number for Ethan Merrow is 1053820282. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Ethan Merrow located?

Ethan Merrow practices at 1701 Mulberry Lake Drive, Dacula, GA 30019. The listed phone number is (770) 712-4910.

What is Ethan Merrow's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Merrow was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.