OMER L. EUBANKS MD PC NPI 1982886248

NPI Information

NPI: 1982886248
Provider Name: OMER L. EUBANKS MD, PC

Doing Business As: NORTH FULTON HEALTHCARE ASSOCIATES

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1155 HEMBREE RD
SUITE 210
ROSWELL, GA
ZIP 30076
Phone: (770) 740-1753
Get Directions

OMER L. EUBANKS MD, PC is a primary care clinic center in Roswell, GA. OMER L. EUBANKS MD, PC NPI is 1982886248. The provider is registered as an organization entity type.
The provider Is Doing Business As North Fulton Healthcare Associates.

The provider's business location address is:

1155 HEMBREE RD
SUITE 210
ROSWELL, GA
ZIP 30076-622
Phone: (770) 740-1753
Fax: (770) 740-8503

The provider's authorized official is Omer L. Eubanks .
The authorized official title is President and has the following contact phone number (770) 740-1753.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 1/28/2011.

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	261QP2300X	Clinic/Center	Primary Care	008430	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	Other Provider Identifier Issuer
1	300028185B	MEDICAID	GEORGIA
2	432850	OTHER	GEORGIA	WELLCARE
3	GRP1388	MEDICARE PIN	GEORGIA
4	CL3877	OTHER	GEORGIA	PALMETTO GBA - RAILROAD MEDICARE

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: 5/5/2024

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