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NPI Code Detail

MEDICARE: MARSHALL DENNY BANKS M.D.

MEDICARE: MARSHALL DENNY BANKS M.D.
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
1207R00000XInternal Medicine Physician26098TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104811249
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHALL DENNY BANKS M.D.
Provider Business Mailing Address
First Line : PO BOX 400
Second Line :
City : JACKSON
State : TN
Zip : 38302-0400
Country : US
Telephone Number : 731-423-8697
Fax Number : 731-422-5743
Provider Business Practice Location Address
First Line : 2863 HWY 45 BYP.
Second Line :
City : JACKSON
State : TN
Zip : 38305-3618
Country : US
Telephone Number : 731-422-0213
Fax Number : 731-868-4536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 03/16/2026

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Directions to “ MARSHALL DENNY BANKS M.D.” Practice Location

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