Individual
ANN E EGGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12 EASTBROOK BND, PEACHTREE CITY, GA 30269-1530
(770) 487-3330
(770) 487-7736
Mailing address
12 EASTBROOK BND, PEACHTREE CITY, GA 30269-1530
(770) 487-3330
(770) 487-7736
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
028972
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000813689A
—
GA
Enumeration date
11/04/2005
Last updated
03/10/2011
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