Individual
JANA EBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
999 CHERAW ST, BENNETTSVILLE, SC 29512-2420
(843) 479-2341
(843) 479-2346
Mailing address
314 S WELLS ST, SISTERSVILLE, WV 26175-1098
(304) 652-2611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25215
MS
207Q00000X
Family Medicine Physician
3393
WV
207Q00000X
Family Medicine Physician
Primary
81620
SC
Other
Enumeration date
03/08/2014
Last updated
03/06/2025
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