Provider Demographics
NPI:1225045180
Name:MERRILL, ARTHUR JOHN JR (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JOHN
Last Name:MERRILL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:275 COLLIER RD NW
Mailing Address - Street 2:500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1709
Mailing Address - Country:US
Mailing Address - Phone:404-636-9323
Mailing Address - Fax:404-320-6420
Practice Address - Street 1:275 COLLIER RD NW
Practice Address - Street 2:500
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1709
Practice Address - Country:US
Practice Address - Phone:404-636-9323
Practice Address - Fax:404-320-6420
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2008-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA15802207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA06BDFFKMedicare ID - Type Unspecified
GAD30236Medicare UPIN