Individual
ANNA LEE BANISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
800 TOWNE PARK DR, RINCON, GA 31326-5156
(912) 826-0052
(912) 826-4726
Mailing address
PO BOX 386, 1259 HYW 119S, SPRINGFIELD, GA 31329-0386
(912) 754-6451
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN144607
GA
Other
Enumeration date
02/23/2011
Last updated
03/17/2018
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