Mariel Danita Hepburn

NPI #1851659650 in Ashburn, Georgia

Provider Information

NPI Number: 1851659650
Entity Type: Individual
Name: Mariel Danita Hepburn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Apr 30, 2012
Last Updated: Mar 8, 2021

Practice Location

Address: 611 E WASHINGTON AVE
City: Ashburn
State: Georgia
ZIP Code: 31714-5315
Phone: (229) 567-3407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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