CARRIE SMITH BANKS — OIG Excluded Provider (SAN FRANCISCO, CA, 1128b4)
CARRIE SMITH BANKS — OIG Excluded Provider (SAN FRANCISCO, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: CARRIE SMITH BANKS; Type: Individual; Provider category: IND- LIC HC SERV PRO.
| Name | CARRIE SMITH BANKS |
|---|---|
| Type | Individual |
| Provider category | IND- LIC HC SERV PRO |
| Specialty | LICENSED PRACTITIONE |
| NPI | 1619197571 |
| City | SAN FRANCISCO |
| State | CA |
| ZIP | 94114 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2015-03-19 |
| Source | HHS-OIG LEIE |
$1499/mo
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