Individual
BANKS RALEIGH CATES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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