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NPI Code Detail

MEDICARE: WINTER F BANKS

MEDICARE:   WINTER F 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1124711676
Entity Type Code : Individual
Provider Name (Legal Business Name) : WINTER F BANKS
Provider Business Mailing Address
First Line : 7012 CUMBERLAND GLEN LN SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-4034
Country : US
Telephone Number : 470-957-5020
Fax Number :
Provider Business Practice Location Address
First Line : 7012 CUMBERLAND GLEN LN SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-4034
Country : US
Telephone Number : 470-957-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2023
Last Update Date : 05/31/2023

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Directions to “ WINTER F BANKS ” Practice Location

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