Provider Demographics
NPI:1750573986
Name:MERRITT, DAWN LYNNETTE (DO)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:LYNNETTE
Last Name:MERRITT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:DAWN
Other - Middle Name:LYNNETTE
Other - Last Name:SAMMONS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:2111 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-2138
Mailing Address - Country:US
Mailing Address - Phone:740-566-5621
Mailing Address - Fax:740-566-4622
Practice Address - Street 1:2111 E STATE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2138
Practice Address - Country:US
Practice Address - Phone:740-566-5621
Practice Address - Fax:740-566-4622
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-12
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0085897207N00000X
OHOH 34.008597207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty