# MARCIA D. EBBS MD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326181694
- **Authorized official:** PETER EBBS (GENERAL MANAGER)
- **Authorized official phone:** (502) 222-3927

## Contact information

- **Practice address:** 1009 NEW MOODY LN, SUITE 4, LAGRANGE, KY 40031-9142
- **Practice address phone:** (502) 222-3927
- **Mailing address:** PO BOX 290, LAGRANGE, KY 40031-0290
- **Mailing address phone:** (502) 222-3927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 30727 | KY | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 08/22/2020