Basic Information
| Provider Information | |||||||||
| NPI: | 1649415316 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EPPIG | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | N | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2715 APPLESEED RD | ||||||||
| Address2: | PM&R: PAIN MEDICINE | ||||||||
| City: | FINKSBURG | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210482204 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 6439 GARNERS FERRY RD | ||||||||
| Address2: | START DATE TO BE DETERMINED; CURRENTLY UNEMPLOYED. | ||||||||
| City: | COLUMBIA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 292091638 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037764000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/10/2008 | ||||||||
| LastUpdateDate: | 07/01/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | P23770 | MD | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 390200000X | VA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.