Douglas Santrell Banks, PROSTHETISTS

NPI #1285848846 in Ridgeland, Mississippi

Provider Information

NPI Number: 1285848846
Entity Type: Individual
Name: Douglas Santrell Banks, PROSTHETISTS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Credential: PROSTHETISTS
Enumeration Date: May 10, 2007
Last Updated: Feb 10, 2014

Practice Location

Address: 199 CHARMANT PL
Address 2: SUITE 4
City: Ridgeland
State: Mississippi
ZIP Code: 39157-4358
Phone: (601) 856-8360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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