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NPI Code Detail

MEDICARE: THOMASENA BANKS

MEDICARE: THOMASENA 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
1235Z00000XSpeech-Language Pathologist4024NC

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 : 1437314937
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMASENA BANKS
Provider Business Mailing Address
First Line : 3601 LITCHFIELD RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-2005
Country : US
Telephone Number : 704-366-5278
Fax Number : 704-366-5201
Provider Business Practice Location Address
First Line : 3601 LITCHFIELD RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-2005
Country : US
Telephone Number : 704-366-5278
Fax Number : 704-366-5201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2008
Last Update Date : 07/23/2008

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Directions to “ THOMASENA BANKS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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