Individual
GEORGIA MAE EICHELBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12097 OLD HAMMOND HWY STE I4, BATON ROUGE, LA 70816-8679
(225) 246-8816
Mailing address
4013 WHITE SANDS DR, BATON ROUGE, LA 70814-5171
(225) 284-0644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6996
LA
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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