Mariel Danita Hepburn
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
Practice location Address checks out
Ashburn, GANo coordinates on file. Search this address in Google Maps
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 |