Steven Allen Eubanks Jr, MD | |
148 Clinic Ave, Carrollton, GA 30117 | |
(770) 838-8640 | |
(770) 838-8650 |
Full Name | Steven Allen Eubanks Jr |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 148 Clinic Ave, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083651996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 057608 (Georgia) | Secondary |
208000000X | Pediatrics | 057608 (Georgia) | Primary |
Entity Name | Tanner Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
Mailing Address | Practice Location Address |
---|---|
Steven Allen Eubanks Jr, MD 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 812-5905 | Steven Allen Eubanks Jr, MD 148 Clinic Ave, Carrollton, GA 30117 Ph: (770) 838-8640 |
Emily Denney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117 Phone: 770-812-8640 Fax: 770-838-8650 | |
Caitlin Mehalick Tierney, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 | |
Jack W Miller, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Pl, Ste 104, Carrollton, GA 30117 Phone: 770-830-7039 Fax: 770-830-7149 | |
Nyla Faye Cline, NURSE PRACTIONER Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833 | |
Charles Edward Stevenson Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833 | |
Jonathan M Goodin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833 | |
Sushma Sudhi, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117 Phone: 770-812-8640 Fax: 770-838-8650 |