Individual
RICHARD NEIL BANEY JR.
Active
Individual
RICHARD NEIL BANEY JR.
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
89132
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110117266
RR MEDICARE
FL
05
—
379634500
—
FL
Enumeration date
08/29/2005
Last updated
05/02/2022
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