Individual
BRANDON BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Mailing address
1421 BRIARHILL LN NE, ATLANTA, GA 30324-5433
(706) 614-6337
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
RBT-21-190677
GA
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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