Doctor Name: | SETH EISENBERG |
NPI Number: | 1023044054 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 63319 |
Business Practice Address: | 730 Oglethorpe Ave St Simons Island, GA - 315224908 |
Business Phone Number: | 7083638345 |
Business Fax Number: | 3122779555 |
Mailing Address: | 730 Oglethorpe Ave, ST SIMONS ISLAND |
State: | GA |
Postal Code: | 315224908 |
Phone Number: | 7083638345 |
Fax Number: | 3122779555 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 63319 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |