Organization
MARCIA D. EBBS MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER EBBS (GENERAL MANAGER)
(502) 222-3927
Entity
Organization
Contact information
Practice address
1009 NEW MOODY LN, SUITE 4, LAGRANGE, KY 40031-9142
(502) 222-3927
Mailing address
PO BOX 290, LAGRANGE, KY 40031-0290
(502) 222-3927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30727
KY
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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