Provider Demographics
NPI:1366447807
Name:EUBANKS, AMY H (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:H
Last Name:EUBANKS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:802 GREEN VALLEY RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7041
Mailing Address - Country:US
Mailing Address - Phone:336-510-5510
Mailing Address - Fax:336-510-5515
Practice Address - Street 1:1701 WESTCHESTER DR
Practice Address - Street 2:SUITE 850
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7008
Practice Address - Country:US
Practice Address - Phone:336-802-2536
Practice Address - Fax:336-802-2534
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2013-01-16
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Provider Licenses
StateLicense IDTaxonomies
NC9801642208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1207825OtherUNITED HEALTHCARE
NC7560128OtherAETNA
NC87515OtherMEDCOST
NC132NVOtherBLUE CROSS
NC891178UMedicaid
NC1207825OtherUNITED HEALTHCARE