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BERNARD EBERHART

Adult Day Care >> Clinic/Center >> Ambulatory Health Care Facilities

Registrant NPI Number: 1093052177

Individual Registrant:
 BERNARD  EBERHART 
Gender: M
Sole Proprietor

Location and contact information for practice:
4776 LAMB AVE  UNION POINT, GA 30669 US
Tel: 404-548-9099  Fax: --

Contact information for business:
4776 LAMB AVE  UNION POINT, GA 30669-1121 US
Tel: 404-548-9099  Fax: --

Registration Information:
NPI: 1093052177
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA0600XAmbulatory Health Care Facilities
Clinic/Center
Adult Day Care
GAGA369875

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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