Individual
DR. MICHAEL DAVID BANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1012 COGGINS PL NE, MARIETTA, GA 30060-2585
(770) 422-2009
(770) 428-0330
Mailing address
1314 CONCORD RD SE, SMYRNA, GA 30080-4361
(770) 422-2009
(770) 428-0330
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
GA37445
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000587727A
—
GA
Enumeration date
11/01/2006
Last updated
03/23/2026
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