Individual
DR. JAMES WALLACE EUBANKS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 N DUNLAP ST, MEMPHIS, TN 38105-4625
(901) 287-6760
Mailing address
49 NORTH DUNLAP STREET, SUITE 640, MEMPHIS, TN 38103-3666
(901) 287-6760
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD28486
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126905
—
MS
05
—
152684001
—
AR
05
—
3875092
—
TN
Enumeration date
05/20/2006
Last updated
05/09/2018
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