Eubanks, Gwendolyn Elaine

Eubanks, Gwendolyn Elaine is an sole proprietor health care provider with primary practice located at 1404 Beatties Ford Road , Charlotte NC 28216-4578. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is her primary health care specialty. Eubanks, Gwendolyn Elaine can be contacted via phone (704) 910-5053.

Contact Information

Primary practice address
1404 Beatties Ford Road Charlotte NC 28216-4578
Phone: (704) 910-5053
Fax: (704) 910-5052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1679228639
LBN Legal business name Eubanks, Gwendolyn Elaine
Credentials MEDICAL ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2022
Last updated May 24th, 2022 - about 3 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

Popular Providers