Individual
JESSIE CHRISTINA EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-3499
(843) 692-1122
Mailing address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1000
(843) 692-1122
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LL87520
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2022
Last updated
08/11/2023
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