Individual
WILLIAM PAUL BANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY STE 250, MATTHEWS, NC 28105-5331
(704) 841-1444
(704) 849-2520
Mailing address
PO BOX 604350, CHARLOTTE, NC 28260-4350
(704) 364-8100
(704) 365-2073
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19490
SC
208600000X
Surgery Physician
Primary
2015-00687
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760468110
—
NC
01
—
620108
SELECT HEALTH
SC
01
—
76051
MEDCOST
SC
01
—
770001362
BANKERS LIFE AND CASUALTY
SC
01
—
9377345
CIGNA
SC
01
—
9645030
GHI
SC
05
—
T37948
—
SC
Enumeration date
12/19/2005
Last updated
03/26/2025
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