Susan Melinda Bankston, MD
Pediatrics in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1366479990
StatusActive
Last updated in NPPESJan 19, 2021
Details
- NPI
- 1366479990
- Entity type
- Individual (NPI-1)
- Name
- Susan Melinda Bankston
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2006
- Certification date
- Jan 19, 2021
- Last updated
- Jan 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 020111 | LA | Yes |
Practice location
7373 Perkins RdBaton Rouge, LA 70808-4326
Phone 225-769-4044
Mailing address
7373 Perkins RdBaton Rouge, LA 70808-4326
Phone 225-769-4044
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