Individual
DR. JEFFREY ALLAN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152-5100
(803) 895-6356
(803) 895-6040
Mailing address
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152-5100
(803) 895-6356
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
ME85849
FL
208000000X
Pediatrics Physician
2010-01016
NC
208000000X
Pediatrics Physician
Primary
7284
AK
Other
Enumeration date
12/09/2005
Last updated
08/22/2024
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