Janna Myesha Banks
Individual provider Active NPI Driver · Duluth, GA
NPI 1548035744 · NPPES record last updated Nov 17, 2023
Key facts
- NPI
- 1548035744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 2750 Premiere Pkwy Ste 200
Duluth, GA 30097-8914 - Phone
- (912) 481-5890
- NPI assigned
- Nov 17, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
2750 Premiere Pkwy Ste 200
Duluth, GA 30097-8914
Mailing address
2750 Premiere Pkwy Ste 200
Duluth, GA 30097-8914
Phone (912) 481-5890
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.