Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Gwendolyn Elaine Eubanks, MEDICALASSISTANT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679228639

MS. Gwendolyn Elaine Eubanks, MEDICALASSISTANT is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1404 Beatties Ford Rd
Charlotte, NC 28216-4578
Phone: (704) 910-5053
Fax: (704) 910-5052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1679228639
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDICALASSISTANT
Sole proprietorYes
NPI enumeratedFebruary 18, 2022
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022

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