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Individual

DR. MATTHEW DANIEL EBERLY SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-4504
(706) 721-8623
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01060903A
IN
2080P0208X
Pediatric Infectious Diseases Physician
01060903A
IN
2080P0208X
Pediatric Infectious Diseases Physician
Primary
102863
GA

Other

Enumeration date
08/07/2007
Last updated
03/25/2026
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