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Ebony Gardner
NPI 1821880071 · on the registry since 2025
Practice
- Address
- 309 Macon St
Mcdonough, GA 30253 - Phone
- (404) 772-0905
- Organisation at this address
- Caldore Acres Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 261QA0600X
261QA0600X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia