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NPI Code Detail

MEDICARE: MARY EZEH FNP

MEDICARE:   MARY  EZEH  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN278108GA

General Provider Information

NPI Number : 1245946268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY EZEH FNP
Provider Business Mailing Address
First Line : 106 E BROAD ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31401-2917
Country : US
Telephone Number : 912-527-1000
Fax Number : 912-527-1155
Provider Business Practice Location Address
First Line : 2 ROBERTS ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31408-3524
Country : US
Telephone Number : 912-527-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2023
Last Update Date : 02/14/2023

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Directions to “ MARY EZEH FNP” Practice Location

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