Individual
DR. CAROLANN EISENHART
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(800) 532-6151
(706) 354-5769
Mailing address
PO BOX 5719, ATHENS, GA 30604-5719
(706) 310-0381
(706) 310-0390
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35860
GA
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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