Dr MADONNA BANKS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012 from East Tennessee State University, Quillen-dishner College Of Medicine.
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
1019 W OAKLAND AVE
SUITE 1
JOHNSON CITY
TN
376042357
Tel: 4239155000
| Npi | 1184053472 |
| Pac Id | 1951531136 |
| Professional Enrollment Id | I20140310000330 |
| Last Name | BANKS |
| First Name | MADONNA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Group Practice Pac Id | 9739099441 |
| Number Of Group Practice Members | 340 |
| Line 1 Street Address | 1019 W OAKLAND AVE |
| Line 2 Street Address | SUITE 1 |
| Marker Of Address Line 2 Suppression | |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 376042357 |
| Phone Number | 4239155000 |
| Hospital Affiliation Ccn 1 | 440176 |
| Hospital Affiliation Lbn 1 | INDIAN PATH MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 440032 |
| Hospital Affiliation Lbn 2 | WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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