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Individual
SEAN M EPPS
Active
Individual
SEAN M EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104076
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7650718
AETNA ID
NC
01
—
D6930
MEDCOST ID
NC
Enumeration date
08/10/2005
Last updated
09/26/2024
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