institution
Omer L. Eubanks Md, Pc
Primary Care Clinic/Center in Roswell, Georgia
NPI 1982886248

Omer L. Eubanks Md, Pc is a Primary Care Clinic/Center based in Roswell, GA and is specialized in Primary Care. Omer L. Eubanks Md, Pc practices in Roswell, GA. The NPI Number for Omer L. Eubanks Md, Pc is 1982886248 and holds a License No. 008430 (Georgia).

The current practice location address for Omer L. Eubanks Md, Pc is 1155 Hembree Rd, Roswell, GA and can be reached out via phone at 770-740-1753 and via fax at 770-740-8503.

Location: 1155 Hembree Rd, Roswell, GA, 30076-4622
institution
Provider Profile Details
NPI Number
1982886248
Provider Name
Omer L. Eubanks Md, Pc
Credential
Provider Entity Type
Organization
Address
1155 Hembree Rd, Roswell, GA, 30076-4622
Phone Number
770-740-1753
Fax Number
770-740-8503
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CL3877 01 GA PALMETTO GBA - RAILROAD MEDICARE
432850 01 GA WELLCARE
300028185B 05 GA
institution
Provider Business Practice Location Address Details
Address
1155 Hembree Rd
City
State
Zip
30076-4622
Phone Number
770-740-1753
Fax Number
770-740-8503
person
Provider Business Mailing Address Details
Address
1155 Hembree Rd
City
State
Zip
30076-4622
Phone Number
770-740-1753
Fax Number
770-740-8503
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
008430 (Georgia)
Definition
Definition to come...
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