Individual provider · Type 1 NPI
Ebonee Houseworth
Mastectomy Fitter · Hephzibah, GA
NPI number
1093627598
Active
Practice location
2510 Drumcliff Ct
Hephzibah, GA 30815-6621
Mailing address
246 Robt Danel Jr Pkwy # 1225
Augusta, GA 30909-0803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Mastectomy Fitter Primary | 224900000X | CO1002602 (GA) |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Another provider at this address
About NPI 1093627598
Ebonee Houseworth's National Provider Identifier is 1093627598, issued on Sep 19, 2026. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Hephzibah, GA. The record was last updated on Oct 1, 2026.