Individual
ANGELA LEIGH EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 803-7633
Mailing address
11 S WINSTON ST, REYNOLDS, GA 31076-3200
(478) 847-9878
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
RN248956
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019077292
ANCC CERTIFICATION
GA
Enumeration date
02/11/2020
Last updated
08/04/2022
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