| Ms Roslyn C Banks-jackson, MD | |
|
1061 Harmon Ave, Fort Stewart, GA 31314 | |
| (912) 435-6965 | |
| Not Available |
| Full Name | Ms Roslyn C Banks-jackson |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1061 Harmon Ave, Fort Stewart, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134112618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036121554 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 051865 (Georgia) | Primary |
| Entity Name | Dlp Western Carolina Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609281641 PECOS PAC ID: 9032338975 Enrollment ID: O20140908002531 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Roslyn C Banks-jackson, MD 2400 Bellevue Rd, Ste 23, Dublin, GA 31021-2888 Ph: (478) 272-8580 | Ms Roslyn C Banks-jackson, MD 1061 Harmon Ave, Fort Stewart, GA 31314 Ph: (912) 435-6965 |
Teki Susan Hegwood, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. Jose Enrique Melendez, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6331 | |
Dr. Ruth H Duda, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. Gary S Kipp, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. Robert Lawrence Iii, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. Brian Michael Belson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 |