Individual
MS. EBONY EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
134 OWENSVILLE RD, WEST RIVER, MD 20778-9702
(410) 867-4700
Mailing address
134 OWENSVILLE RD, WEST RIVER, MD 20778-9702
(410) 867-4700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009500
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
12/12/2023
Last updated
08/06/2026
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