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Dr. David M Banks
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. David M Banks |
| Gender: | M |
| Provider License Number If Given: | 51620 |
NPI Information:
| NPI: | 1497740906 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 6/8/2018 |
Provider Business Mailing Address:
| Address: | 907 18TH ST E SUITE 150 Tifton, GA 31794 |
| Phone Number: | 2293533422 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 2227 US HIGHWAY 41 N Tifton, GA 31794 |
| Phone Number: | 2293865222 |
| Fax Number: | 2293860900 |
Provider Taxonomy:
| Primary: | 207X00000X |
| Secondary (if any): | |
| State: | GA |
