Individual
JANNA MYESHA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 PREMIERE PKWY STE 200, DULUTH, GA 30097-8914
(912) 481-5890
Mailing address
2750 PREMIERE PKWY STE 200, DULUTH, GA 30097-8914
(912) 481-5890
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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