Individual
SANDRA K BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD NE, SUITE 1200, ATLANTA, GA 30342-1699
(404) 255-9100
(404) 257-7171
Mailing address
5670 PEACHTREE DUNWOODY RD NE, SUITE 1200, ATLANTA, GA 30342-1699
(404) 255-9100
(404) 257-7171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048330
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129261A
—
GA
Enumeration date
08/11/2006
Last updated
01/30/2017
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