Individual
TRAVIS A EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 432-4106
Mailing address
111 LIVE OAK CT, NEW SMYRNA BEACH, FL 32168-7923
(386) 848-0907
(276) 679-6095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30291
MS
207Q00000X
Family Medicine Physician
30291
MS
Other
Enumeration date
06/26/2019
Last updated
02/02/2024
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