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Misty Nicole Banknell, PA-C
Physician Assistant in Milledgeville, Georgia
NPI 1609034453

Misty Nicole Banknell is a Physician Assistant based in Dublin, GA. Misty Nicole Banknell practices in Milledgeville, GA and has the professional credentials of PA-C. The NPI Number for Misty Nicole Banknell is 1609034453 and holds a License No. 005333 (Georgia).

The current practice location address for Misty Nicole Banknell is 230 N Jefferson St Ne, Milledgeville, GA and can be reached out via phone at 478-453-8484 and via fax at 478-452-0987.

Location: 230 N Jefferson St Ne, Milledgeville, GA, 31021-2890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609034453
Provider Name
Misty Nicole Banknell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
230 N Jefferson St Ne, Milledgeville, GA, 31021-2890
Phone Number
478-453-8484
Fax Number
478-452-0987
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00644516 01 RR MEDICARE PIN
005333 01 GA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
230 N Jefferson St Ne
City
Milledgeville
State
Georgia
Zip
31061-3418
Phone Number
478-453-8484
Fax Number
478-452-0987
person
Provider Business Mailing Address Details
Address
230 N Jefferson St Ne
City
Milledgeville
State
Georgia
Zip
31061-3418
Phone Number
478-453-8484
Fax Number
478-452-0987
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
005333 (Georgia)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
005333 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
005333 (Georgia)
Definition
Definition to come...
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