Individual
MILLARD F BANKER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8000
(252) 635-6951
Mailing address
PO BOX 602463, CHARLOTTE, NC 28260-2463
(252) 447-7088
(252) 447-2752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36647
NC
208M00000X
Hospitalist Physician
Primary
36647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13205
BLUE CROSS
NC
05
—
8913205
—
NC
Enumeration date
08/25/2005
Last updated
01/03/2011
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