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Dr. Wachovia Chanta' Banks, DO
Family Medicine Physician in Blythewood, South Carolina
NPI 1487880126

Wachovia Chanta' Banks is a Family Medicine Physician based in New Orleans, SC. Wachovia Chanta' Banks practices in Blythewood, SC and has the professional credentials of DO. The NPI Number for Wachovia Chanta' Banks is 1487880126 and holds a License No. OT013286 (South Carolina).

The current practice location address for Wachovia Chanta' Banks is 1175 Grey Pine Dr, Blythewood, SC and can be reached out via phone at 803-995-5599.

Location: 1175 Grey Pine Dr, Blythewood, SC, 70131-5425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487880126
Provider Name
Wachovia Chanta' Banks
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1175 Grey Pine Dr, Blythewood, SC, 70131-5425
Phone Number
803-995-5599
Fax Number
Provider Enumeration Date
06/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
518700 05 SC
2570986 05 LA
institution
Provider Business Practice Location Address Details
Address
1175 Grey Pine Dr
City
Blythewood
State
South Carolina
Zip
29016-7320
Phone Number
803-995-5599
Fax Number
person
Provider Business Mailing Address Details
Address
1175 Grey Pine Dr
City
Blythewood
State
South Carolina
Zip
29016-7320
Phone Number
803-995-5599
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
()
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OT013286 (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
51870 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
OT013286 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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