Doctor Name: | DEBORAH D. EBERHART |
NPI Number: | 1164437638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | 000696 |
Business Practice Address: | 1008 N Piedmont Ave Rockmart, GA - 301532526 |
Business Phone Number: | 7706847846 |
Business Fax Number: | 7706848294 |
Mailing Address: | 420 E 2nd Ave, Suite 103 ROME |
State: | GA |
Postal Code: | 301613224 |
Phone Number: | 7065093278 |
Fax Number: | 7065094608 |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 000696 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |