Individual
DR. KIM PATRICE EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
465 WINN WAY STE 231, DECATUR, GA 30030-1723
(347) 262-3054
Mailing address
541 10TH ST NW # 231, ATLANTA, GA 30318-5713
(347) 262-3054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055484
GA
207Q00000X
Family Medicine Physician
199994
LA
207Q00000X
Family Medicine Physician
26227
AL
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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