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Individual

PAUL RICHARD EBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1325 WOLF PARK DR, SUITE 102, GERMANTOWN, TN 38138-1742
(901) 252-3400
(901) 682-0047
Mailing address
1325 WOLF PARK DR, SUITE 103, GERMANTOWN, TN 38138-1742
(901) 252-3411
(901) 384-6422

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
18433
MS
208800000X
Urology Physician
Primary
20950
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13002331
PHCS
01
3132206
CIGNA
05
3889738
TN
01
4075544
BLUE CROSS TN
01
433985
HEALTH LINK
01
4503998
AETNA
Enumeration date
04/27/2006
Last updated
09/13/2024
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