Ebron, Marian T

Ebron, Marian T is an individual health care provider with primary practice located at 2047 Central Ave , Augusta GA 30904-4178. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ebron, Marian T can be contacted via phone (706) 738-7557.

Contact Information

Primary practice address
2047 Central Ave Augusta GA 30904-4178
Phone: (706) 738-7557
Fax: (706) 738-7526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 041783 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 041783 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 041783 Georgia

Profile Details

NPI number 1538114921
LBN Legal business name Ebron, Marian T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jan 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538114921 NPPES
Georgia MEDICAID 000709684B
Georgia Other 52678333 003

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