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Individual

TOMMY GLENN BANKS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5328 CYPRESS ST, WEST MONROE, LA 71291-7506
(318) 966-1640
(318) 966-1641
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-1640
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207356
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07-328-545
ECFMG
01
45448
CDS
LA
Enumeration date
05/10/2011
Last updated
03/27/2025
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