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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

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