Individual
MARCIA D EBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PSC
Contact information
Practice address
1006 NEW MOODY LN, LA GRANGE, KY 40031-9122
(502) 593-0083
(502) 222-0029
Mailing address
1006 NEW MOODY LN, LA GRANGE, KY 40031-9122
(502) 593-0083
(502) 222-0029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30727
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000644690
ANTHEM - NCMA
KY
01
—
000000675746
ANTHEM - NICC
KY
01
—
000052153D
HUMANA - NCMA
KY
01
—
0100865
UHC
—
01
—
019456
SIHO - NCMA
KY
01
—
118157
SIHO - NICC
KY
01
—
50027441
PASSPORT - NCMA
KY
05
—
64307275
—
KY
01
—
6935264
CIGNA - NCMA
KY
Enumeration date
11/03/2006
Last updated
05/27/2013
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