Individual
MR. FRANKIE JOEL EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 STIRLING RD, CAMDEN, TN 38320-7722
(931) 645-1199
(931) 647-4358
Mailing address
PO BOX 129, CAMDEN, TN 38320-0129
(931) 645-1199
(931) 647-4358
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000038334
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300585980
TAX ID
TN
05
—
3600805
—
TN
Enumeration date
02/06/2007
Last updated
08/03/2010
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