Individual
MS. GWENDOLYN ELAINE EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
1404 BEATTIES FORD ROAD, CHARLOTTE, NC 28216-4578
(704) 910-5053
(704) 910-5052
Mailing address
7225 HUNTERS SPRING DR., CHARLOTTE, NC 28269-1247
(704) 910-5053
(704) 910-5052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
05/24/2022
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