Kim Patrice Eubanks (NPI# 1093765521, PAC ID# 7315998416) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1093765521 |
PAC ID by PECOS | 7315998416 |
Professional Enrollment ID | I20050621000451 |
Full Name | Kim Patrice Eubanks |
Organization Legal Name | NUCH OF GEORGIA LLC |
Address |
12201 Hwy 92 Suite D Woodstock GA 30188-7141 |
Phone Number | 8776540472 |
Gender | M |
Credential | MD |
Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
Graduation Year | 1999 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 4385860899 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
12201 Hwy 92, Suite D, Woodstock, GA 30188-7141 | 8776540472 | NUCH OF GEORGIA LLC |
Organization Legal Name | NUCH OF GEORGIA LLC |
Physicians | 1 |
Street Address |
12201 HWY 92 SUITE D |
City | WOODSTOCK |
State | GA |
Zip | 30188-7141 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly A Vaccaro | Chiropractic | 5101 Old Hwy 5, Suite 1, Woodstock, GA 30188 | |
Jonathan D Chao | Optometry | Woodstock Optometry, P.C. | 915 Ridgewalk Pkwy, Suite 425, Woodstock, GA 30188-0119 |
Henry Leavengood | Chiropractic | 1238 S Houston Lake Rd, Suite 3, Warner Robins, GA 30188-0724 | |
Lara Kile | Chiropractic | Leavengood Chiropractic, PC | 1238 S Houston Lake Rd, Suite 3, Warner Robins, GA 30188-0724 |
Kenya M Ragland | Nurse Practitioner | Georgia Urgent Care, - Alpharetta, LLC | 7820 Hickory Flat Hwy, Woodstock, GA 30188-2099 |
Jean M Armand | Nurse Practitioner | Georgia Urgent Care, - Alpharetta, LLC | 7820 Hickory Flat Hwy, Woodstock, GA 30188-2099 |
Kellie C Baxter | Chiropractic | 6875 Hickory Rd, Suite 110, Woodstock, GA 30188-2327 | |
Mary M Strange | Chiropractic | 5947 Holly Springs Pkwy, Suite 308, Holly Springs, GA 30188-2449 | |
Mark A Amos | Chiropractic | 10214 Hickory Flat Hwy, Woodstock, GA 30188-3094 | |
Burton Stevens Jr. | Physical Therapy | Soar Physical Therapy, Inc | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 |
Find all physicians in zip 30188 |
City | WOODSTOCK |
Zip Code | 30188 |
Specialty | FAMILY PRACTICE |
City + Specialty | WOODSTOCK + FAMILY PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.