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Individual

DR. TERRY MARIE BANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
160 WENDOLYN TRCE, FAYETTEVILLE, GA 30215-7714
(770) 719-3318
Mailing address
160 WENDOLYN TRCE, FAYETTEVILLE, GA 30215-7714
(770) 719-3318

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
048206
GA

Other

Enumeration date
09/16/2009
Last updated
09/16/2009
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