Individual
KAREN A BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 GORDON AVE, THOMASVILLE, GA 31792-6645
(229) 227-1999
(229) 227-0035
Mailing address
503 GORDON AVE, THOMASVILLE, GA 31792-6645
(229) 227-1999
(229) 227-0035
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000651
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000477628A
—
GA
01
—
10616659
CAQH
—
01
—
2386156
CIGNA
GA
01
—
480012672
RAILROAD MEDICARE
—
01
—
480025966
RAILROAD MEDICARE
—
01
—
5210038
AETNA
GA
Enumeration date
07/11/2006
Last updated
05/28/2008
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