Mariel Danita Hepburn

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851659650

Mariel Danita Hepburn is a Student in an Organized Health Care Education/Training Program in Ashburn, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in: GA
In the registry since: 2012
Specialties on file: 2

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Practice location Address checks out

611 E Washington Ave
Ashburn, GA 31714-5315
Phone: (229) 567-3407
Fax: (229) 567-4467

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary)	Taxonomy 207Q00000X · Licence 074668 (GA)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1851659650
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	April 30, 2012
Last updated in NPPES	March 8, 2021
Certification date	March 8, 2021