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Individual

EBONY MCKINNIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M,D,

Contact information

Practice address
726 N ACADIA RD STE 2300, THIBODAUX, LA 70301-5078
(985) 493-3090
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 493-4544
(985) 449-2513

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
324523
LA

Other

Enumeration date
06/30/2015
Last updated
10/16/2020
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