Individual
TAYLOR LEONA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1108 FOX MEADOWS BLVD STE 1, SEVIERVILLE, TN 37862-6939
(865) 366-1581
Mailing address
1108 FOX MEADOWS BLVD STE 1, SEVIERVILLE, TN 37862-6939
(865) 366-1581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5868
TN
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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