Search › South Carolina › 207Q00000X
Jerry Banks, MD
NPI 1578552410 · on the registry since 2005
Practice
- Address
- 920 Doug White Dr Ste 250
Myrtle Beach, SC 29572 - Phone
- (843) 848-1440
- Fax
- (843) 839-2382
- Organisation at this address
- Coastal Carolina Primary Care, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 94
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X - Licence states on file
- VA, TN, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-10
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 South Carolina