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NPI Code Detail

MEDICARE: HALEIGH BANKS

MEDICARE:   HALEIGH  BANKS
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
1171M00000XCase Manager/Care CoordinatorTN

General Provider Information

NPI Number : 1912832221
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEIGH BANKS
Provider Business Mailing Address
First Line : 200 TECH CENTER DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-2747
Country : US
Telephone Number : 865-637-9711
Fax Number :
Provider Business Practice Location Address
First Line : 320 W 3RD NORTH ST
Second Line :
City : MORRISTOWN
State : TN
Zip : 37814-4038
Country : US
Telephone Number : 423-273-5599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “ HALEIGH BANKS ” Practice Location

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