Individual
DOUGLAS SANTRELL BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROSTHETISTS
Contact information
Practice address
199 CHARMANT PL, SUITE 4, RIDGELAND, MS 39157-4358
(601) 856-8360
Mailing address
199 CHARMANT PL, SUITE 4, RIDGELAND, MS 39157-4358
(601) 856-8360
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
224P00000X
MS
Other
Enumeration date
05/10/2007
Last updated
02/10/2014
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