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A. Benjamin Eubanks, MD, LLC

Psychologist, Prescribing (Medical) in Atlanta, GA. Organization (NPI-2).

NPI number1477814242
StatusActive
Last updated in NPPESJun 7, 2012

Details

NPI
1477814242
Entity type
Organization (NPI-2)
Legal business name
A. Benjamin Eubanks, MD, LLC
Organization subpart
No
Enumeration date
Jun 7, 2012
Last updated
Jun 7, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TP0016X Psychologist, Prescribing (Medical)015460GAYes

Practice location

2751 Buford Hwy Ne
Suite 204
Atlanta, GA 30324-3207

Phone 404-325-0100 · Fax 404-237-9050

Mailing address

2751 Buford Hwy Ne
Suite 204
Atlanta, GA 30324-3207

Phone 404-325-0100 · Fax 404-237-9050

Authorized official

Benjamin Eubanks
President
4043250100

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