Individual
MARY BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-2534
Mailing address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-2534
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN305745
GA
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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