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Individual

DR. GARY ALLEN EBERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1090 EAST LAUREL AVENUE, FOLEY, AL 36535-2248
(251) 943-7901
(251) 943-1949
Mailing address
1090 EAST LAUREL AVENUE, FOLEY, AL 36535-2248
(251) 943-7901
(251) 943-1949

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21260
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154115
AL
Enumeration date
07/10/2006
Last updated
12/13/2017
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