Organization
MARIAN T EBRON, MD INTERNAL MEDICINE PC
Active
Organization
MARIAN T EBRON, MD INTERNAL MEDICINE PC
Active
Other names
Marian T Ebron, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAN T EBRON (PHYSICIAN)
(706) 738-7557
Entity
Organization
Contact information
Practice address
2047 CENTRAL AVE, AUGUSTA, GA 30904-4178
(706) 738-7557
(706) 738-7526
Mailing address
2047 CENTRAL AVE, AUGUSTA, GA 30904-4178
(706) 738-7557
(706) 738-7526
Taxonomy
Speciality
Code
Description
License number
State
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
041783
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000709684B
—
GA
01
—
11BDSFD
MEDICARE
GA
Enumeration date
10/13/2009
Last updated
10/13/2009
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