Dr. Robert Fanning Eaves , MD
General Practice • Stone Mountain, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Eaves has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Eaves, MD was a registered General Practice practicing in Stone Mountain, GA. Throughout an active medical career spanning 6 years, Dr. Eaves provided care at the practice location at 5394 LEATHERSTOCKING LANE until profile deactivation on 2019-02-25.
Practice Location & Contact Primary Location
5394 Leatherstocking Lane
Stone Mountain, GA 30087
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Stone Mountain, GA
Practicing in Stone Mountain, GA (369 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 25, 2019
NPI status registered as active in NPPES database
Registered at 5394 LEATHERSTOCKING LANE, STONE MOUNTAIN, GA 30087 (Tel: 7709383223)
Registered at 5394 LEATHER STOCKING LANE, STONE MOUNTAIN, GA 30087 (Tel: 7709383223)
Recorded as ROBERT EAVES, M.D.
General Practice (License #5843 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5394 Leather Stocking Lane
Stone Mountain, GA 30087
Phone: 7709383223
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