Individual
ALAN S BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2295 PARKLAKE DR NE, SUITE 150, ATLANTA, GA 30345-2825
(770) 938-5974
(770) 939-7393
Mailing address
4101 CHARLOTTE AVE STE F185, NASHVILLE, TN 37209-4066
(678) 426-2171
(615) 269-3087
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
545
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000356771D
—
GA
01
—
048552
BLUE CROSS
—
01
—
480018110
MCR RAILROAD
—
01
—
518114
AETNA
—
01
—
P00370534
RAILROAD MEDICARE
GA
Enumeration date
07/25/2006
Last updated
05/09/2023
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