Individual
RICHARD A EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 UNIVERSITY PKWY, SUITE 2360, AIKEN, SC 29801-6810
(803) 642-6500
(803) 642-6472
Mailing address
PO BOX 100523, FLORENCE, SC 29501-0523
(843) 669-5162
(843) 667-4573
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17067
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL9498
—
SC
Enumeration date
04/06/2006
Last updated
01/11/2012
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