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KAREN A BANKS
>> Podiatrist >> Podiatric Medicine & Surgery Service ProvidersRegistrant NPI Number: 1205861374
Individual Registrant: KAREN A BANKS
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
503 GORDON AVE THOMASVILLE, GA 31792-6645 US
Tel: 229-227-1999 Fax: 229-227-0035
Tel: 229-227-1999 Fax: 229-227-0035
Contact information for business:
503 GORDON AVE THOMASVILLE, GA 31792-6645 US
Tel: 229-227-1999 Fax: 229-227-0035
Tel: 229-227-1999 Fax: 229-227-0035
Registration Information:
NPI: 1205861374
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 213E00000X | Podiatric Medicine & Surgery Service Providers Podiatrist | GA | 000651 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CAQH | 10616659 | 01 | |
| RAILROAD MEDICARE | 480025966 | 01 | |
| 000477628A | GA | 05 | |
| RAILROAD MEDICARE | 480012672 | 01 | |
| CIGNA | 2386156 | GA | 01 |
| AETNA | 5210038 | GA | 01 |
