Individual
JOHN BENJAMIN BANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
539 PARKVIEW DR, BLUE RIDGE, VA 24064-1668
(540) 728-0603
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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