Individual
SEAN DONALD EBERHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2079 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5834
(843) 974-5622
Mailing address
3527 DUNMOVIN DR, JOHNS ISLAND, SC 29455-8421
(843) 437-6511
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
244943
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27151
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244943
RN
—
Enumeration date
11/18/2022
Last updated
05/25/2023
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