Organization
TAJ EUBANKS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAJ EUBANKS MD (OWNER)
(404) 376-3639
Entity
Organization
Contact information
Practice address
830 W PEACHSTREE ST, ATLANTA, GA 30308-1056
(404) 376-3639
Mailing address
3560 DAVIS BLVD, ATLANTA, GA 30349-1056
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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