Ms Gwendolyn Elaine Eubanks, MEDICAL ASSISTANT is a
Clinical Medical Laboratory based in Charlotte, North Carolina. Ms Gwendolyn Elaine Eubanks is licensed to practice in * (Not Available) (license number ) and her current practice location is
1404 Beatties Ford Road, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 910-5053.
NPI number for Ms Gwendolyn Elaine Eubanks is 1679228639 and her current mailing address is 7225 Hunters Spring Dr., Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679228639.
Healthcare Provider's Profile
| Full Name | Ms Gwendolyn Elaine Eubanks |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Medical Laboratory |
|---|
| Location | 1404 Beatties Ford Road, Charlotte, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679228639
- Provider Enumeration Date: 02/18/2022
- Last Update Date: 05/24/2022
Medical Identifiers
Medical identifiers for Ms Gwendolyn Elaine Eubanks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679228639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Gwendolyn Elaine Eubanks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Gwendolyn Elaine Eubanks, MEDICAL ASSISTANT
7225 Hunters Spring Dr.,
Charlotte, NC 28269-1247
Ph: (704) 910-5053 | Ms Gwendolyn Elaine Eubanks, MEDICAL ASSISTANT
1404 Beatties Ford Road,
Charlotte, NC 28216-4578
Ph: (704) 910-5053 |
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