Individual
PAUL DAVID BANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 S WEISGARBER RD STE D, SUITE D, KNOXVILLE, TN 37919-7504
(865) 342-7859
(865) 558-4363
Mailing address
PO BOX 11484, KNOXVILLE, TN 37939-1484
(865) 342-7859
(865) 558-4363
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
29453
TN
207RP1001X
Pulmonary Disease Physician
Primary
29453
TN
Other
Enumeration date
07/27/2006
Last updated
06/19/2015
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