NPI 1003414582

Marcus Stephen Wilbanks

Practitioner Registered Nurse Newnan, GA

Practice location

Address: 745 Poplar Rd, Newnan, GA 30265-1618
Phone: (770) 400-1000

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence RN261766 (GA)

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Registry record

NPI: 1003414582
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Oct 2020
Record last updated: 15 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.