Individual
JULIE LYNN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 PARKBROOKE PL, SUITE 300, WOODSTOCK, GA 30189-6400
(770) 442-1911
(770) 928-2601
Mailing address
250 PARKBROOKE PL, SUITE 300, WOODSTOCK, GA 30189-6400
(770) 442-1911
(770) 928-2601
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007403
GA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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