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NPI Code Detail

MEDICARE: ALLISON MCGEE BANAS PT

MEDICARE:   ALLISON MCGEE BANAS  PT
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
1225100000XPhysical TherapistPT009985GA

General Provider Information

NPI Number : 1285949453
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON MCGEE BANAS PT
Provider Business Mailing Address
First Line : 2618 KENWOOD DR
Second Line :
City : DULUTH
State : GA
Zip : 30096-3638
Country : US
Telephone Number : 404-441-0893
Fax Number :
Provider Business Practice Location Address
First Line : 150 ATHENS HWY
Second Line : SUITE 600
City : LOGANVILLE
State : GA
Zip : 30052-2277
Country : US
Telephone Number : 770-554-2307
Fax Number : 770-554-2309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2010
Last Update Date : 02/25/2025

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