Robert Eubanks, M.D.
Individual provider Active NPI Specialist · Montrose, AL
NPI 1619398294 · NPPES record last updated Dec 26, 2013
Key facts
- NPI
- 1619398294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 7796 (AL)
- Practice address
- 3 Oak LN
Montrose, AL 36559-0655 - Phone
- (251) 928-2029
- NPI assigned
- Dec 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7796 | AL | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7796 | AL | Yes |
Addresses
Primary practice location
3 Oak LN
Montrose, AL 36559-0655
Mailing address
PO Box 655
Montrose, AL 36559-0655
Phone (251) 928-2029
Other providers in Montrose, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.