Marian T Ebron, MD Internal Medicine PC

Primary specialty

Legal Medicine (M.D./D.O.) PhysicianTaxonomy code 209800000X

License

041783 Issued in GA

Legal business name

MARIAN T EBRON, MD INTERNAL MEDICINE PC

Practice address

2047 Central Ave
Augusta, GA 30904-4178

Phone

(706) 738-7557

Fax

(706) 738-7526

NPI assigned

Oct 13, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marian T Ebron

Title

Physician

Phone

(706) 738-7557

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Marian T Ebron, MD Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Moultrie, M.D.

  • General Practice Physician
  • Jessup, MD
  • NPI 1376746545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1770818502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044178",
            "telephone_number": "706-738-7557",
            "fax_number": "706-738-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044178",
            "telephone_number": "706-738-7557",
            "fax_number": "706-738-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN T EBRON, MD INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "EBRON",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-738-7557",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "209800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "041783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000709684B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "11BDSFD",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marian T Ebron, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Margaret Maratovic
• Whitney M Marchant, CPNP
• Dennis Michael Marcus, M.D.
• Margaret O. Green,M.D.,P.C.
• Bernard L Maria, MD
• Renee Marin Gomez
• Lisa G Marin, DMD, MD
• Norma Giovanna Marin
• Claudia Kathryn Marino
• Tammi Marion

• Legal Medicine (M.D./D.O.) Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Legal Medicine (M.D./D.O.) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.