Austin Banks
Specialist/Technologist, Athletic Trainer in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1285359596
StatusActive
Last updated in NPPESOct 10, 2022
Details
- NPI
- 1285359596
- Entity type
- Individual (NPI-1)
- Name
- Austin Banks
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2022
- Certification date
- Oct 9, 2022
- Last updated
- Oct 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | MS | Yes |
Practice location
103 Medical ParkHattiesburg, MS 39401-9042
Phone 601-264-6000
Mailing address
54 Planted Pine DrPurvis, MS 39475-5518
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