Individual
SUSAN MELINDA BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 769-4044
Mailing address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 769-4044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
020111
LA
Other
Enumeration date
06/27/2006
Last updated
01/19/2021
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