Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 9735 | NC |
NPI | 1023511391 |
---|---|
Provider Name | Mr. Scott Benet Bankard |
First Address | Mills River, NC 28759-2561 |
Second Address | Hamlet, NC 28345-7158 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2018 |
Last Update Date | 13/03/2018 |