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Individual

TAJ EUBANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5835 CAMPBELLTON RD SW STE 204, ATLANTA, GA 30331-8014
(404) 376-3639
(404) 393-7828
Mailing address
5835 CAMPBELLTON RD SW STE 204, ATLANTA, GA 30331-8014
(404) 376-3639
(404) 393-7828

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
55206
GA

Other

Enumeration date
06/24/2005
Last updated
10/31/2016
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