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Individual
MILLARD F BANKER IV
Active
Individual
MILLARD F BANKER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36647
NC
208M00000X
Hospitalist Physician
Primary
36647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13205
BLUE CROSS
NC
05
—
8913205
—
NC
Enumeration date
08/25/2005
Last updated
01/03/2011
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