Individual
LINTON W EBERHARDT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 11TH ST NE APT 1817, ATLANTA, GA 30309
(770) 891-2003
Mailing address
60 11TH ST NE APT 1817, ATLANTA, GA 30309-4384
(770) 891-2003
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
055123
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470429598A
—
GA
05
—
470429598R
—
GA
05
—
470429598S
—
GA
01
—
52128834022
BCBSGA
GA
01
—
52128834023
BCBSGA
GA
01
—
P01208880
RAILROAD MEDICARE
GA
Enumeration date
02/16/2006
Last updated
06/22/2018
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