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NPI Code Detail

MEDICARE: MS. SONJA R EUBANKS MS

MEDICARE: MS. SONJA R EUBANKS MS
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1659359966
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SONJA R EUBANKS MS
Provider Business Mailing Address
First Line : 104 AZALEA CT
Second Line :
City : MEBANE
State : NC
Zip : 27302-8162
Country : US
Telephone Number : 336-256-1174
Fax Number :
Provider Business Practice Location Address
First Line : 1200 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1004
Country : US
Telephone Number : 336-832-8064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 07/08/2007

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Directions to “ MS. SONJA R EUBANKS MS” Practice Location

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