Individual
ROBIN ELAINE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2185 NORTHLAKE PKWY STE 110, TUCKER, GA 30084-4109
(770) 493-6360
(770) 493-6350
Mailing address
2185 NORTHLAKE PKWY STE 100, TUCKER, GA 30084-4100
(770) 493-6360
(770) 493-6350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT000222
GA
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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