Individual
DANA EBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO4260
AL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
34179
MS
207QS0010X
Sports Medicine (Family Medicine) Physician
DO4260
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2022
Last updated
08/12/2026
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