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NPI Code Detail

MEDICARE: ANGELA EUBANKS

MEDICARE:   ANGELA  EUBANKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35067240 - EOH

General Provider Information

NPI Number : 1386681104
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA EUBANKS
Provider Business Mailing Address
First Line : PO BOX 951603
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1945 NEWARK GRANVILLE RD
Second Line :
City : GRANVILLE
State : OH
Zip : 43023-9169
Country : US
Telephone Number : 740-587-0870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 03/16/2022

Similar Medicare Providers

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Practice Location Address:
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Directions to “ ANGELA EUBANKS ” Practice Location

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