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1104123371
ANNA LEE BANISTER
RINCON, GA
NPI
1104123371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA RN144607)
Enumeration Date
2011-02-23
Last Update Date
2018-03-17
Business Address
ANNA LEE BANISTER ANP-BC
800 TOWNE PARK DR
RINCON, GA 31326-5156
Phone number: 912-826-0052
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Mailing Address
ANNA LEE BANISTER ANP-BC
PO BOX 386 1259 HYW 119S
SPRINGFIELD, GA 31329-0386
Phone number: 912-754-6451
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