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NPI Code Detail

MEDICARE: SY BANKS DPT

MEDICARE:   SY  BANKS  DPT
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 TherapistPTH8580AL

General Provider Information

NPI Number : 1750808135
Entity Type Code : Individual
Provider Name (Legal Business Name) : SY BANKS DPT
Provider Business Mailing Address
First Line : PO BOX 441146
Second Line :
City : KENNESAW
State : GA
Zip : 30160-9522
Country : US
Telephone Number : 16784593745
Fax Number :
Provider Business Practice Location Address
First Line : 2972 CARTER HILL RD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-2531
Country : US
Telephone Number : 334-288-8353
Fax Number : 334-288-9681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2017
Last Update Date : 08/25/2017

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Directions to “ SY BANKS DPT” Practice Location

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