Healthcare Provider Details

I. General information

NPI: 1962293662
Provider Name (Legal Business Name): MERRIT MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3285 N POINT PKWY STE 204
ALPHARETTA GA
30005-4715
US

IV. Provider business mailing address

300 FALLS POINT TRL
ALPHARETTA GA
30022-8470
US

V. Phone/Fax

Practice location:
  • Phone: 770-562-7365
  • Fax: 770-264-5041
Mailing address:
  • Phone: 770-355-0810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: RAJENDER SINGH
Title or Position: OWNER
Credential: MD
Phone: 770-355-0810