Eubanks, Kim Patrice

Eubanks, Kim Patrice is an sole proprietor health care provider with primary practice located at 465 Winn Way Ste 231 , Decatur GA 30030-1723. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Eubanks, Kim Patrice can be contacted via phone (347) 262-3054.

Contact Information

Primary practice address
465 Winn Way Ste 231 Decatur GA 30030-1723
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26227 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 055484 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 199994 Louisiana

Profile Details

NPI number 1093765521
LBN Legal business name Eubanks, Kim Patrice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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