# DR. EBONY LASHAY LOVE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083916720
- **Gender:** F
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | POD001150 | GA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | POD001150 | GA | Yes |

## Other

- **Enumeration date:** 12/01/2010
- **Last updated:** 09/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003118774A | — | GA |
| 01 | — | 202I481075 | INDIVIDUAL MEDICARE PTAN | GA |
| 01 | — | 511G700902 | GROUP MEDICARE PTAN | GA |