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NPI Code Detail

MEDICARE: JAMES JORDAN BANKS

MEDICARE: JAMES JORDAN 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437011368
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES JORDAN BANKS
Provider Business Mailing Address
First Line : 130 BRIARWOOD LN
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-4504
Country : US
Telephone Number : 828-230-4603
Fax Number :
Provider Business Practice Location Address
First Line : 1061 HARMON AVE
Second Line :
City : FORT STEWART
State : GA
Zip : 31314-5641
Country : US
Telephone Number : 828-233-4603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ JAMES JORDAN BANKS ” Practice Location

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