Individual provider · NPI-1

Michael R. Eberhardt, MD

Emergency Medicine · Commerce, GA

NPI number1942374574
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1942374574
Entity type
Individual (NPI-1)
Name
Michael R. Eberhardt
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 17, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine021452GAYes

Practice location

70 Medical Center Dr
Commerce, GA 30529-1078

Phone 706-335-1102 · Fax 706-336-8419

Mailing address

861 Sw 78th Ave
Suite # 100b
Plantation, FL 33324-3273

Phone 954-693-0000 · Fax 954-693-0005

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