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Contact Information

MARIAN T EBRON, MD
2047 CENTRAL AVE
AUGUSTA, GA30904-4178
 Phone: 706-738-7557
 Fax: 706-738-7526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for MARIAN T EBRON · (Female)

NPI Number 1538114921
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 01/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 041783
  • GA Medicaid 000709684B
  • GA Other 52678333 003 BCBSGA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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