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Mariel Hepburn
NPI 1851659650 · on the registry since 2012
Practice
- Address
- 611 E Washington Ave
Ashburn, GA 31714 - Phone
- (229) 567-3407
- Fax
- (229) 567-4467
- Organisation at this address
- Tift Regional Health System Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-08
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