Individual
EBONY D STUBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3000 VETERANS PKWY S, MOULTRIE, GA 31788-7762
(229) 985-3422
Mailing address
604 42ND ST E, TIFTON, GA 31794-1550
(229) 326-2164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN225774
GA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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