Individual
CHIANTI BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
609 N TOWNVILLE ST, SENECA, SC 29678-2642
(864) 882-2245
Mailing address
609 N TOWNVILLE ST, SENECA, SC 29678-2642
(864) 882-2245
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
.94438
SC
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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