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Individual
DR. JOHN B EBERLY
Active
Individual
DR. JOHN B EBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14967
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103038
CAROLINA CARE PLAN
SC
01
—
1035477
UNITED HEALTH CARE
SC
05
—
149672
—
SC
01
—
49218
MEDCOST
SC
01
—
57-0947101
TAX ID
SC
Enumeration date
05/27/2005
Last updated
06/24/2015
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