Individual
KYLE A. BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
730 N MAIN ST, CEDARTOWN, GA 30125-2358
(770) 749-5095
(770) 749-0228
Mailing address
730 N MAIN ST, CEDARTOWN, GA 30125-2358
(770) 749-5095
(770) 749-0228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018686
GA
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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