Individual
CHARLES BANOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 PARK PL NE, ATLANTA, GA 30303
(404) 616-4444
Mailing address
3725 GEORGE BUSBEE PKWY NW APT 519, KENNESAW, GA 30144-6624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN302814
GA
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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