Individual
SAMANTHA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1240 SIGMAN RD NW STE 103, CONYERS, GA 30012-3934
(404) 857-4788
Mailing address
1240 SIGMAN RD NW STE 103, CONYERS, GA 30012-3934
(404) 857-4788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP251148
GA
363L00000X
Nurse Practitioner
Primary
RN251148
GA
Other
Enumeration date
03/11/2025
Last updated
03/09/2026
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