Omer Lafeyette Eubanks M.D.

NPI 1043255185 - Family Medicine - 207Q00000X

NPI Details
NPI 1043255185
Gender Male
Enumeration Date 06/20/2006
Last Updated 11/29/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1155 HEMBREE RD
STE. 210
ROSWELL GA, 30076-1122, US
Phone (770) 740-1753
Fax (770) 740-8503
Business Location
1155 HEMBREE RD
STE. 210
ROSWELL GA, 30076-1122, US
Phone (770) 740-1753
Fax (770) 740-8503
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 008430
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According to our database, Dr. Omer Lafeyette Eubanks M.D. NPI is 1043255185, taxonomy code is 207Q00000X and license number is 008430, license state is located at Georgia. Omer Lafeyette Eubanks M.D. physically located at 1155 Hembree Rd, Roswell GA, 30076-1122. NPI Number Omer Lafeyette Eubanks M.D. has the Individual type.

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1043255185 NPI number is provided on an as is basis without warranty of any kind. 1043255185 is maintained by the National Plan & Provider Enumeration System. The contents of Omer Lafeyette Eubanks M.D. are for informational purposes only.