Individual
JUSTIN EBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4050 EXECUTIVE PARK DR, CINCINNATI, OH 45241-2089
(404) 631-6156
Mailing address
1720 PHOENIX BLVD STE 900, COLLEGE PARK, GA 30349-5597
(404) 631-6156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009410RX
OH
Other
Enumeration date
05/14/2025
Last updated
05/15/2025
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