Individual
JERRY BURTON BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 DOUG WHITE DR STE 250, MYRTLE BEACH, SC 29572-4181
(843) 848-1440
(843) 839-2382
Mailing address
920 DOUG WHITE DR STE 250, MYRTLE BEACH, SC 29572-4181
(843) 848-1440
(843) 839-2382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101232005
VA
207Q00000X
Family Medicine Physician
Primary
37612
SC
207Q00000X
Family Medicine Physician
MD34440
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037612200
—
SC
05
—
1505595
—
TN
05
—
1578552410
—
VA
Enumeration date
10/13/2005
Last updated
02/10/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us