NPI 1962479451
Monico Peter Banez, MD
Practice location
- Address
- 620 Skyline Dr, Jackson, TN 38301-3923
- Phone
- (731) 660-8759
- Mailing address
- 1804 Highway 45 Byp Suite 604, Jackson, TN 38305-4436
Registered specialties (2)
Hospitalist Physician
Primary
Internal Medicine Physician
Registry record
- NPI
- 1962479451
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Mar 2006
- Record last updated
- 15 Aug 2022
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.