Individual
RYAN EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 APALACHEE DR, LEESBURG, GA 31763-5214
(229) 869-7708
Mailing address
115 APALACHEE DR, LEESBURG, GA 31763-5214
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN198478
GA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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