MRS. PATRICIA J EUBANK PA NPI 1881768927

NPI Information

NPI: 1881768927
Provider Name: MRS. PATRICIA J EUBANK, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
631 PROFESSIONAL DR
STE 360
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 962-4895
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MRS. Patricia J Eubank, PA is a medical physician assistant in Lawrenceville, GA. MRS. Patricia J Eubank, PA NPI is 1881768927. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

631 PROFESSIONAL DR
STE 360
LAWRENCEVILLE, GA
ZIP 30046-367
Phone: (770) 962-4895
Fax: (770) 962-4792

The NPI 1881768927 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 1/10/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	2284	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q00252	MEDICARE UPIN	GEORGIA
2	97WCFDB	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
3	616293304A	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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