Individual
MRS. EBONY MYERS COE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2922 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6528
(706) 855-2767
Mailing address
1023 COMBINE CT, AIKEN, SC 29803-8749
(803) 860-4003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
237496
GA
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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