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Contact Information

MATTHEW D EBERLY SR, MD
1120 15TH ST
AUGUSTA, GA30912-4504
 Phone: 706-721-8623
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MATTHEW D EBERLY SR · (Male)

NPI # 1346431905
Status Active
Credentials MD
Entity Individual
Enumeration date 08/07/2007
Last updated 03/25/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 102863
  • IN License # 01060903A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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