Organization
SMOKY MOUNTAIN FOOT CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D BANKS DPM (CEO)
(828) 452-4343
Entity
Organization
Contact information
Practice address
188 GEORGIA RD, FRANKLIN, NC 28734-3246
(828) 452-4343
Mailing address
PO BOX 278, CLYDE, NC 28721-0278
(828) 452-4343
(828) 452-1477
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
301
NC
213E00000X
Podiatrist
346
NC
213E00000X
Podiatrist
469
NC
213E00000X
Podiatrist
547
NC
213E00000X
Podiatrist
563
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
469
NC
213ES0131X
Foot Surgery Podiatrist
301
NC
213ES0131X
Foot Surgery Podiatrist
346
NC
213ES0131X
Foot Surgery Podiatrist
547
NC
213ES0131X
Foot Surgery Podiatrist
563
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800A
BCBS
NC
01
—
0801K
BCBS
NC
01
—
0806B
BCBS
NC
01
—
0808P
BCBS
NC
05
—
5911410
—
NC
05
—
890800A
—
NC
05
—
890801K
—
NC
05
—
890806B
—
NC
05
—
890808P
—
NC
Enumeration date
10/16/2006
Last updated
11/24/2015
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