Individual
AUSTIN BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 MEDICAL PARK, HATTIESBURG, MS 39401-9042
(601) 264-6000
Mailing address
54 PLANTED PINE DR, PURVIS, MS 39475-5518
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MS
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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