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1760468110
WILLIAM PAUL BANISH
CHARLOTTE, NC
NPI
1760468110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NC 2015-00687)
Additional Taxonomies
208600000X Surgery
(Licence: SC 19490)
Enumeration Date
2005-12-19
Last Update Date
2022-02-08
Business Address
WILLIAM PAUL BANISH MD
10512 PARK RD STE 101
CHARLOTTE, NC 28210
Phone number: 704-542-3631
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Mailing Address
WILLIAM PAUL BANISH MD
PO BOX 33369
CHARLOTTE, NC 28233-3369
Phone number: 704-364-8100
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