Organization
SMOKY MOUNTAIN FOOT CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D BANKS DPM (CEO)
(828) 452-4343
Entity
Organization
Contact information
Practice address
573 MERRIMON AVE, ASHEVILLE, NC 28804-3490
(828) 254-7716
Mailing address
PO BOX 278, CLYDE, NC 28721-0278
(828) 452-4343
(828) 452-1477
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
346
NC
213E00000X
Podiatrist
380
NC
213E00000X
Podiatrist
Primary
469
NC
213E00000X
Podiatrist
B01
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800A
BCBS
NC
01
—
0806B
BCBS
NC
01
—
0807K
BCBS
NC
01
—
0808P
BCBS
—
05
—
5911409
—
NC
05
—
890800A
—
NC
05
—
890801K
—
NC
05
—
890808P
—
NC
05
—
89086B
—
NC
Enumeration date
10/25/2006
Last updated
11/09/2011
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