Individual
J. DANIEL HANKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 MARTHA BERRY BLVD NE, ROME, GA 30165-1612
(706) 291-2077
Mailing address
1104 MARTHA BERRY BLVD NE, ROME, GA 30165-1612
(706) 291-2077
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
013042
GA
2085N0700X
Neuroradiology Physician
013042
GA
2085N0904X
Nuclear Radiology Physician
013042
GA
2085P0229X
Pediatric Radiology Physician
013042
GA
2085R0202X
Diagnostic Radiology Physician
Primary
013042
GA
2085R0203X
Therapeutic Radiology Physician
013042
GA
2085R0204X
Vascular & Interventional Radiology Physician
013042
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143865
BCBS OF GEORGIA
GA
Enumeration date
10/16/2006
Last updated
09/05/2007
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