Organization
A. BENJAMIN EUBANKS, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN EUBANKS M.D. (PRESIDENT)
(404) 325-0100
Entity
Organization
Contact information
Practice address
2751 BUFORD HWY NE, SUITE 204, ATLANTA, GA 30324-3207
(404) 325-0100
(404) 237-9050
Mailing address
2751 BUFORD HWY NE, SUITE 204, ATLANTA, GA 30324-3207
(404) 325-0100
(404) 237-9050
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
015460
GA
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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