Individual
BANKS RALEIGH CATES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1409 W GEORGIA RD, SUITE D, SIMPSONVILLE, SC 29680-6419
(864) 454-6540
(864) 454-6545
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9142
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091421
—
SC
01
—
110128502
RR MEDICARE
SC
01
—
110248003
RR MEDICARE
SC
01
—
4586510
AETNA
SC
01
—
576007863064
BCBS OF SC
SC
Enumeration date
06/13/2006
Last updated
06/21/2012
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