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NPI Code Detail

MEDICARE: EBONEY STEPHENS

MEDICARE: EBONEY STEPHENS
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
1374700000XTechnician

General Provider Information

NPI Number : 1902788615
Entity Type Code : Individual
Provider Name (Legal Business Name) : EBONEY STEPHENS
Provider Business Mailing Address
First Line : 122 W FORSYTH ST
Second Line :
City : AMERICUS
State : GA
Zip : 31709-3561
Country : US
Telephone Number : 229-591-4000
Fax Number :
Provider Business Practice Location Address
First Line : 701 JACKSON AVE
Second Line :
City : AMERICUS
State : GA
Zip : 31709-4174
Country : US
Telephone Number : 229-591-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2025
Last Update Date : 07/23/2025

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Directions to “ EBONEY STEPHENS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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