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NPI Code Detail

MEDICARE: DAKOTA BANKS REESE D.C.

MEDICARE: DAKOTA BANKS REESE D.C.
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
1111N00000XChiropractorCHIRO10964GA

General Provider Information

NPI Number : 1366149171
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAKOTA BANKS REESE D.C.
Provider Business Mailing Address
First Line : 3520 WALTON WAY EXT STE 1A
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-6591
Country : US
Telephone Number : 706-917-3169
Fax Number :
Provider Business Practice Location Address
First Line : 3665 WHEELER RD STE 2A
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-6510
Country : US
Telephone Number : 706-860-8717
Fax Number : 706-860-1341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2023
Last Update Date : 02/13/2023

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Directions to “ DAKOTA BANKS REESE D.C.” Practice Location

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