MEDICARE: ANDREA JOAN BANTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1396251153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA JOAN BANTON

Provider Business Mailing Address
First Line	:	1395 E DUBLIN GRANVILLE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3313
Country	:	US
Telephone Number	:	614-987-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1395 E DUBLIN GRANVILLE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3313
Country	:	US
Telephone Number	:	614-987-7200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2017
Last Update Date	:	01/03/2023

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Directions to “ ANDREA JOAN BANTON ” Practice Location

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