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NPI Verification

National Provider Identifier: 1083147045

Brock Nathaniel Banks, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

5907 HIGHWAY 90

MOSS POINT, MS 395636536

Phone: 228-769-2611

NPI Enumeration Date

April 6, 2017

NPI Number

1083147045

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry