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Individual

MISS KATHERINE HUFF BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
35 INTERNATIONAL DR, GREENVILLE, SC 29615-4816
(864) 234-7654
(864) 675-1657
Mailing address
PO BOX 631341, CINCINNATI, OH 45263-1341

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3391
SC
363AS0400X
Surgical Physician Assistant
3391
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3970PA
SC
Enumeration date
10/16/2019
Last updated
08/31/2023
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