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Contact Information

STACY EBERHART, NNP-BC
800 KENNESAW AVE NW STE 200
MARIETTA, GA30060-7940
 Phone: 706-272-6490
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
 

Neonatal

363LN0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for STACY EBERHART · (Female)

NPI Number 1366993149
Status Active
Credentials NNP-BC
Entity Individual
Enumeration date 10/17/2016
Last updated 12/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 189163
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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