Individual
MAXWELL K MERRITT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2750 OLD ALABAMA RD, JOHNS CREEK, GA 30022
(678) 893-5332
Mailing address
5350 SCENIC VALLEY DR, CUMMING, GA 30040-5484
(570) 404-6624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3056A
AL
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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