Misty Nicole Banknell in Milledgeville - Surgical
Misty Nicole Banknell - NPI 1609034453
Misty Nicole Banknell is a Surgical in Milledgeville, Georgia. Misty Nicole Banknell practices all healthcare services and medical treatments related to Surgical. The NPI Number for Misty Nicole Banknell is 1609034453. The last update date is 2015-03-11.
Misty Nicole Banknell's current location address is 230 N Jefferson St Ne, Milledgeville, Georgia. You can contact this provider via phone number 4784538484 and fax number 4784520987. The mailing address for Misty Nicole Banknell is 230 N Jefferson St Ne, Milledgeville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Misty Nicole Banknell |
|---|---|
| Address | 230 N Jefferson St Ne, Milledgeville, Georgia |
| Phone Number | 4784538484 |
| Fax Number | 4784520987 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1609034453 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2015-03-11 |
Provider Mailing Address Detail
| Address | 230 N Jefferson St Ne |
|---|---|
| City | Milledgeville |
| State | Georgia (GA) |
| Post Code | 310613418 |
| Phone Number | 4784538484 |
| Fax Number | 4784520987 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 5333 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00644516 | RR MEDICARE PIN | ||
| 5333 | GA | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Misty Nicole Banknell by the Centers for Medicare & Medicaid Services (CMS)?
The Misty Nicole Banknell has been assigned the NPI (National Provider Identifier) 1609034453. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Misty Nicole Banknell is physically located?
The Misty Nicole Banknell is situated at the following address: 230 N Jefferson St Ne, Milledgeville, GA 310613418.
What is Misty Nicole Banknell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Misty Nicole Banknell is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609034453 to Misty Nicole Banknell?
The Misty Nicole Banknell received its 1609034453 assignment from the Centers for Medicare & Medicaid Services on 2008-05-29.
When was the information pertaining to Misty Nicole Banknell most recently updated or revised?
The details related to Misty Nicole Banknell, including its address, specialty, and other relevant information, were last updated or revised on 2015-03-11.