| Nonna Lyn M Ebalo, MD | |
|
2212 Wilborn Ave, South Boston, VA 24592-1630 | |
| (434) 572-8921 | |
| (434) 572-2063 |
| Full Name | Nonna Lyn M Ebalo |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2212 Wilborn Ave, South Boston, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861472524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101232220 (Virginia) | Primary |
| 208000000X | Pediatrics | C51721 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Nonna Lyn M Ebalo, MD 2212 Wilborn Ave, South Boston, VA 24592-1630 Ph: (434) 572-8921 | Nonna Lyn M Ebalo, MD 2212 Wilborn Ave, South Boston, VA 24592-1630 Ph: (434) 572-8921 |
Maria Precious Tangan Torres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-8022 Fax: 434-517-8022 | |
Samantha Y King, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 Seymour Dr, South Boston, VA 24592 Phone: 434-575-1336 Fax: 434-575-1349 | |
Dr. Candace Renee Clocker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-8022 Fax: 434-517-8370 |