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Individual

ELISE AUDREY EUBANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
300 CHEROKEE PL, CARTERSVILLE, GA 30121-2964
(770) 606-2366
(770) 606-2372
Mailing address
94 MISSION HILLS DR SW, CARTERSVILLE, GA 30120-7443
(770) 655-2832

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
PHTC001747
GA

Other

Enumeration date
03/20/2025
Last updated
03/20/2025
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