Individual
CHARLES E. EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10101 PARK ROWE AVE, SUITE 200, BATON ROUGE, LA 70810-1686
(225) 769-2200
(225) 768-2185
Mailing address
PO BOX 98509, BATON ROUGE, LA 70884-9509
(225) 769-2200
(225) 768-2185
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
021786
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130023837
RAILROAD MEDICARE
LA
05
—
1691721
—
LA
Enumeration date
10/19/2005
Last updated
03/19/2014
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