Individual
EMILY BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
771 PARK CENTRE DR STE C, KERNERSVILLE, NC 27284-3777
(336) 497-5232
Mailing address
771 PARK CENTRE DR STE C, KERNERSVILLE, NC 27284-3777
(941) 223-0548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001014221
NC
Other
Enumeration date
12/06/2023
Last updated
06/28/2024
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