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BERNARD EBERHART
Adult Day Care >> Clinic/Center >> Ambulatory Health Care FacilitiesRegistrant NPI Number: 1093052177
Individual Registrant: BERNARD EBERHART
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
4776 LAMB AVE UNION POINT, GA 30669 US
Tel: 404-548-9099 Fax: --
Tel: 404-548-9099 Fax: --
Contact information for business:
4776 LAMB AVE UNION POINT, GA 30669-1121 US
Tel: 404-548-9099 Fax: --
Tel: 404-548-9099 Fax: --
Registration Information:
NPI: 1093052177
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261QA0600X | Ambulatory Health Care Facilities Clinic/Center Adult Day Care | GA | GA369875 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
