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A. BENJAMIN EUBANKS MD LLC NPI 1477814242


NPI Information

NPI: 1477814242
Provider Name: A. BENJAMIN EUBANKS, MD, LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
2751 BUFORD HWY NE
SUITE 204
ATLANTA, GA
ZIP 30324
Phone: (404) 325-0100
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A. BENJAMIN EUBANKS, MD, LLC is a prescribing (medical) psychologist in Atlanta, GA. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. A. BENJAMIN EUBANKS, MD, LLC NPI is 1477814242. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2751 BUFORD HWY NE
SUITE 204
ATLANTA, GA
ZIP 30324-207
Phone: (404) 325-0100
Fax: (404) 237-9050

The provider's authorized official is Benjamin Eubanks .
The authorized official title is President and has the following contact phone number (404) 325-0100.

The enumeration date for this NPI number is 6/7/2012 and was last updated on 6/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP0016XPsychologistPrescribing (Medical)015460GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
126BDCRCMEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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