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Individual

EBONI SHERELL CALHOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
508 PRESERVATION PKWY, PERRY, GA 31069-9859
(478) 319-9722
Mailing address
508 PRESERVATION PKWY, PERRY, GA 31069-9859
(478) 319-9722

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
GA

Other

Enumeration date
06/07/2023
Last updated
06/07/2023
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