MONICO P BANEZ

WEST TENNESSEE MEDICAL GROUP, INC

Dr MONICO P BANEZ is a male medical professional, specializing in Internal Medicine. He graduated in 1988.

Contact

WEST TENNESSEE MEDICAL GROUP, INC

620 SKYLINE DR
JACKSON
TN
383013923

Tel: 7315415000

MONICO P BANEZ Information

Npi 1962479451
Pac Id 6406996008
Professional Enrollment Id I20091211000468
Last Name BANEZ
First Name MONICO
Middle Name P
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1988
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WEST TENNESSEE MEDICAL GROUP, INC
Group Practice Pac Id 3971781006
Number Of Group Practice Members 112
Line 1 Street Address 620 SKYLINE DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JACKSON
State TN
Zip Code 383013923
Phone Number 7315415000
Hospital Affiliation Ccn 1 440002
Hospital Affiliation Lbn 1 JACKSON-MADISON COUNTY GENERAL HOSPITAL
Hospital Affiliation Ccn 2 440030
Hospital Affiliation Lbn 2 MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION
Hospital Affiliation Ccn 3 440016
Hospital Affiliation Lbn 3 BAPTIST MEMORIAL HOSPITAL HUNTINGDON
Hospital Affiliation Ccn 4 440109
Hospital Affiliation Lbn 4 HARDIN MEDICAL CENTER
Hospital Affiliation Ccn 5 440130
Hospital Affiliation Lbn 5 BAPTIST MEMORIAL HOSPITAL UNION CITY
Professional Accepts Medicare Assignment Y

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