Provider Demographics
NPI:1497567374
Name:MERRITT, CASE DANNON (DC)
Entity type:Individual
Prefix:DR
First Name:CASE
Middle Name:DANNON
Last Name:MERRITT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5070 PEACHTREE BLVD STE E170
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-3010
Mailing Address - Country:US
Mailing Address - Phone:770-392-9299
Mailing Address - Fax:770-727-8136
Practice Address - Street 1:5070 PEACHTREE BLVD STE E170
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-3010
Practice Address - Country:US
Practice Address - Phone:770-392-9299
Practice Address - Fax:770-727-8136
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011333111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty