DOUGLAS SANTRELL BANKS

RIDGELAND, MS
NPI1285848846
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence: MS  224P00000X)
Enumeration Date2007-05-10
Last Update Date2014-02-10
Business Address
-- DOUGLAS SANTRELL BANKS Prosthetists
199 CHARMANT PL SUITE 4
RIDGELAND, MS 39157-4358
Phone number: 601-856-8360
Mailing Address
-- DOUGLAS SANTRELL BANKS Prosthetists
199 CHARMANT PL SUITE 4
RIDGELAND, MS 39157-4358
Phone number: 601-856-8360