Individual
ROBERT A. EBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1381 WESTGATE CENTER DR, DBA FORSYTH INTERNAL MEDICINE, WINSTON SALEM, NC 27103-2934
(336) 718-0100
(336) 718-0120
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-0100
(336) 718-0120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28179
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346210242
—
VA
05
—
8929988
—
NC
Enumeration date
01/24/2006
Last updated
10/25/2020
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