Individual
MITCHEL DAVIS BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
786 GRANT ST SE, ATLANTA, GA 30315-1460
(706) 495-4819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
92039
GA
Other
Enumeration date
03/17/2019
Last updated
08/02/2022
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