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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISTY NICOLE BANKNELL, PA-C

Active

MISTY NICOLE BANKNELL, PA-C is a Physician Assistant healthcare provider located in MILLEDGEVILLE, Georgia. NPI 1609034453 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MILLEDGEVILLE, GA

Registration Details

NPI Number
1609034453
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2008 (18.179817864607 yrs)
Last Updated
Mar 11, 2015
Licenses
005333 (GA)
005333 (GA)
005333 (GA)

Practice Information

Address
230 N JEFFERSON ST NE
MILLEDGEVILLE, GA, 310613418
Browse GA providers · Browse ZIP 31061
Phone
4784538484
Fax
4784520987
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MILLEDGEVILLE, GA

Name Credential NPI
MARIAH WOOD THAXTON P.A. 1174841647
DAWN M STONE PA 1538478292
LAUREN TAYLOR POUNDS P.A.-C 1720471873
BROOKS ANNE MITCHELL PA-S 1891536298
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.