Healthcare Provider Details

I. General information

NPI: 1790946317
Provider Name (Legal Business Name): GRETCHEN STUART CORT BANKS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 N MITCHELL AVE
BAKERSVILLE NC
28705-6502
US

IV. Provider business mailing address

PO BOX 27
BAKERSVILLE NC
28705-0027
US

V. Phone/Fax

Practice location:
  • Phone: 828-688-2104
  • Fax: 844-772-0832
Mailing address:
  • Phone: 828-688-2104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2010-02094
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: