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General NPI Number Information
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NPI Number | 1275041881
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Entity Type | Organization
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Legal Business Name | EPPS MEDICAL ASSOCIATES OF RICHMOND HILL
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 01/17/2018
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Provider Practice Location Address
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Address Line | 10200 FORD AVE STE 101
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City | RICHMOND HILL
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State | GA
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Zip | 31324-8824
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Country | US
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Telephone | 912-445-6110
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Fax | 912-445-6127
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Provider Business Mailing Address
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Address Line | 10200 FORD AVE STE 101
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City | RICHMOND HILL
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State | GA
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Zip | 31324-8824
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Country | US
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Telephone | 912-445-6110
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Fax | 912-445-6127
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Authorized Official
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Title or Position | CEO
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Name | MR. WILLIE EPPS
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Credential | DO
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Telephone | 912-445-6110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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