Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Brown

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386562049

Ethan Brown is a Student in an Organized Health Care Education/Training Program in Sugar Valley, Georgia. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

136 Bayview Ln NW
Sugar Valley, GA 30746-5106
Phone: (404) 791-2573
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1386562049
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 8, 2026
Last updated in NPPESJuly 8, 2026
Certification dateJuly 9, 2026
Mailing address136 Bayview Ln Nw, Sugar Valley, GA 30746-5106