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Individual

DEBORAH D. EBERHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1008 N PIEDMONT AVE, ROCKMART, GA 30153-2526
(770) 684-7846
(770) 684-8294
Mailing address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3224
(706) 509-3278
(706) 509-4608

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000696
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00067064C
GA
Enumeration date
07/30/2006
Last updated
07/09/2007
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