Individual
MS. ROSLYN C BANKS-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314
(912) 435-6965
Mailing address
2400 BELLEVUE RD, STE 23, DUBLIN, GA 31021-2888
(478) 272-8580
(478) 275-0012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036121554
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
051865
GA
Other
Enumeration date
08/30/2005
Last updated
02/15/2018
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