Individual
JEREMY JARABAS BANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4700 NELSON BROGDON BLVD STE 240, BUFORD, GA 30518-5401
(770) 271-3188
Mailing address
720 RALPH MCGILL BLVD NE UNIT 504, ATLANTA, GA 30312-1197
(301) 706-2511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28229
MD
Other
Enumeration date
12/08/2020
Last updated
07/19/2023
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