Eubank, Patricia J

Eubank, Patricia J is an individual health care provider with primary practice located at 631 Professional Dr Ste 360, Lawrenceville GA 30046-3367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Eubank, Patricia J can be contacted via phone (770) 962-4895.

Contact Information

Primary practice address
631 Professional Dr Ste 360 Lawrenceville GA 30046-3367
Fax: (770) 962-4792
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2284 Georgia

Profile Details

NPI number 1881768927
LBN Legal business name Eubank, Patricia J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jan 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881768927 NPPES
Georgia MEDICAID 616293304A

Popular Providers