Dr INGRUM W BANKSTON MD is a male medical professional, specializing in Urology. He graduated in 1983 from University Of Alabama School Of Medicine.
SOUTHEAST PHYSICIAN NETWORK, P.C.
1653 TEMPLE AVE N
FAYETTE
AL
355551314
Tel: 2053457351
| Npi | 1851357891 |
| Pac Id | 8426097254 |
| Professional Enrollment Id | I20050429000867 |
| Last Name | BANKSTON |
| First Name | INGRUM |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | UROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | SOUTHEAST PHYSICIAN NETWORK, P.C. |
| Group Practice Pac Id | 0840337721 |
| Number Of Group Practice Members | 20 |
| Line 1 Street Address | 1653 TEMPLE AVE N |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FAYETTE |
| State | AL |
| Zip Code | 355551314 |
| Phone Number | 2053457351 |
| Hospital Affiliation Ccn 1 | 010092 |
| Hospital Affiliation Lbn 1 | D C H REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 010045 |
| Hospital Affiliation Lbn 2 | FAYETTE MEDICAL CENTER |
| 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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