Individual
DOMINIQUE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 PHOENIX BLVD STE 128-12, ATLANTA, GA 30349-5593
(943) 263-8160
Mailing address
1800 PHOENIX BLVD STE 128-12, ATLANTA, GA 30349-5593
(943) 263-8160
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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