Tamara Banks
Technician/Technologist, Optician in Atlanta, GA. Individual provider (NPI-1).
NPI number1073122479
StatusActive
Last updated in NPPESJul 31, 2020
Details
- NPI
- 1073122479
- Entity type
- Individual (NPI-1)
- Name
- Tamara Banks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2020
- Certification date
- Jul 31, 2020
- Last updated
- Jul 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | LDO002743 | GA | Yes |
Practice location
6065 Roswell Rd Ste 450Atlanta, GA 30328-4011
Phone 404-994-6226 · Fax 404-994-6226
Mailing address
6065 Roswell Rd Ste 450Atlanta, GA 30328-4011
Phone 404-994-6226 · Fax 404-994-6226
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