Individual
BILLY BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(606) 821-9113
Mailing address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(606) 821-9113
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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