Garry G Banks MD PA
Internal Medicine in Niceville, FL. Organization (NPI-2).
NPI number1760624704
StatusActive
Last updated in NPPESApr 6, 2009
Details
- NPI
- 1760624704
- Entity type
- Organization (NPI-2)
- Legal business name
- Garry G Banks MD PA
- Organization subpart
- No
- Enumeration date
- Apr 6, 2009
- Last updated
- Apr 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME0062947 | FL | Yes |
Other names
- Garry G Banks MD PA (Doing Business As)
Practice location
552 Twin Cities BlvdSuite A
Niceville, FL 32578-1055
Phone 850-678-7676 · Fax 850-678-8240
Mailing address
552 Twin Cities BlvdSuite A
Niceville, FL 32578-1055
Phone 850-678-7676 · Fax 850-678-8240
Authorized official
Garry G Banks
President
8506787676
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