Stacy Banes

NPI 1548477318 · on the registry since 2007 · sole proprietor

Practice

Address: 101 Mills St
Brookhaven, MS 39601
Phone: (601) 823-5567
Organisation at this address: Holistic Health
Dykes Medical Pllc
Magnolia Healthcare, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi