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Contact Information

MARA BANKS, MD, PHD
2525 COURT DR
GASTONIA, NC28054-2140
 Phone: 704-834-2450
 Fax: 704-671-5331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Anatomic Pathology

207ZP0101X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MARA BANKS · (Female)

NPI # 1508249392
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 06/30/2015
Last updated 06/16/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A172430
  • GA License # 7664
  • NC License # 2021-01977
  • RI License # LP04867
  • UT License # 11070719-1205
Hospital affiliation(s)
  • GASTON MEMORIAL HOSPITAL - (Acute Care)
    2525 COURT DR
    GASTONIA, NC 28052
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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