Gary Lee Eberly in Fort Campbell - Emergency Medicine
Gary Lee Eberly - NPI 1003967639
Gary Lee Eberly is a Emergency Medicine in Fort Campbell, Kentucky. Gary Lee Eberly practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Gary Lee Eberly is 1003967639. The last update date is 2018-12-07.
Gary Lee Eberly's current location address is 650 Joel Dr, Fort Campbell, Kentucky. You can contact this provider via phone number 2707988500. The mailing address for Gary Lee Eberly is 650 Joel Dr, Fort Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Lee Eberly |
|---|---|
| Address | 650 Joel Dr, Fort Campbell, Kentucky |
| Phone Number | 2707988500 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1003967639 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2018-12-07 |
Provider Mailing Address Detail
| Address | 650 Joel Dr |
|---|---|
| City | Fort Campbell |
| State | Kentucky (KY) |
| Post Code | 422235318 |
| Phone Number | 2707988500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 41014 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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What is the Gary Lee Eberly's unique identification number?
The Gary Lee Eberly has been assigned the NPI (National Provider Identifier) Number 1003967639 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Gary Lee Eberly's facilities are geographically located?
The facilities of Gary Lee Eberly are physically situated at the following location: 650 Joel Dr, Fort Campbell, KY, 422235318.
What is Gary Lee Eberly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary Lee Eberly is Emergency Medicine, and the taxonomy classification code that categorizes this area of expertise is 207P00000X.
On what date did the Gary Lee Eberly receive the assignment of its 1003967639 from the Centers for Medicare & Medicaid Services?
The Gary Lee Eberly was issued its 1003967639 by the Centers for Medicare & Medicaid Services on 2007-01-12.
When was the information pertaining to Gary Lee Eberly most recently updated or revised?
The details related to Gary Lee Eberly, including its address, specialty, and other relevant information, were last updated or revised on 2018-12-07.
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