Individual
MICHAEL ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
705 DIXIE ST, TANNER HEALTH SYSTEMS, EMERGENCY DEPT, CARROLLTON, GA 30117-3818
(770) 836-9666
Mailing address
71 MARINA DR, NEWNAN, GA 30263-7455
(706) 533-2285
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
048227
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000859966D
—
GA
05
—
00859966F
—
GA
01
—
7629421
AETNA
—
05
—
G48227
—
SC
Enumeration date
08/29/2006
Last updated
09/13/2013
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