Individual
DR. JACOB EICHENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
074002
GA
208000000X
Pediatrics Physician
5030
GA
208000000X
Pediatrics Physician
MD51295
TN
Other
Enumeration date
06/28/2011
Last updated
11/17/2015
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