Wachovia Chanta Banks (NPI# 1487880126, PAC ID# 4880957505) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1487880126 |
| PAC ID by PECOS | 4880957505 |
| Professional Enrollment ID | I20180411001541 |
| Full Name | Wachovia Chanta Banks |
| Organization Legal Name | LAGNIAPPE MEDICAL CLINICS LLC |
| Address |
74 Polo Rd Columbia SC 29223-2806 |
| Phone Number | 8034197780 |
| Gender | F |
| Medical School | UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0042597585 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 74 Polo Rd, Columbia, SC 29223-2806 | 8034197780 | LAGNIAPPE MEDICAL CLINICS LLC |
| Organization Legal Name | LAGNIAPPE MEDICAL CLINICS LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madelyn Garcia | Physician Assistant | Lagniappe Medical Clinics LLC | 74 Polo Rd, Columbia, SC 29223-2806 |
| Jaiprakash N Patel | Internal Medicine | Lagniappe Medical Clinics LLC | 1731 Laurel St, Columbia, SC 29201-2624 |
| Kathleen A Grabowski | Internal Medicine | Lagniappe Medical Clinics LLC | 738 University Village Dr, Blythewood, SC 29016-7611 |
| Loretta J Shaffer | Nurse Practitioner | Lagniappe Medical Clinics LLC | 2989 Sunset Blvd, West Columbia, SC 29169-3497 |
| Karen N Moon | Podiatry | Lagniappe Medical Clinics LLC | 74 Polo Rd, Columbia, SC 29223-2806 |
| Paul Plante | Internal Medicine | Lagniappe Medical Clinics LLC | 74 Polo Rd, Columbia, SC 29223-2806 |
| Rajantiben N Patel | Internal Medicine | Lagniappe Medical Clinics LLC | 2989 Sunset Blvd, West Columbia, SC 29169-3497 |
| Janice H Morrow | Nurse Practitioner | Lagniappe Medical Clinics LLC | 74 Polo Rd, Columbia, SC 29223-2806 |
| Heather N Pastva | Physician Assistant | Lagniappe Medical Clinics LLC | 738 University Village Dr, Blythewood, SC 29016-7611 |
| Daniela Murphy | Physician Assistant | Lagniappe Medical Clinics LLC | 738 University Village Dr, Blythewood, SC 29016-7611 |
| Street Address |
74 POLO RD |
| City | COLUMBIA |
| State | SC |
| Zip | 29223-2806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madelyn Garcia | Physician Assistant | Lagniappe Medical Clinics LLC | 74 Polo Rd, Columbia, SC 29223-2806 |
| Karen N Moon | Podiatry | Lagniappe Medical Clinics LLC | 74 Polo Rd, Columbia, SC 29223-2806 |
| Paul Plante | Internal Medicine | Lagniappe Medical Clinics LLC | 74 Polo Rd, Columbia, SC 29223-2806 |
| Janice H Morrow | Nurse Practitioner | Lagniappe Medical Clinics LLC | 74 Polo Rd, Columbia, SC 29223-2806 |
| Kalpesh K Purohit | Family Practice | Lagniappe Medical Clinics LLC | 74 Polo Rd, Columbia, SC 29223-2806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry K Feinstein | Allergy/immunology | Advanced Allergy and Asthma of Virginia | 31143 Truamn St, Columbia, DE 29223 |
| Margaret H Sigman | Allergy/immunology | Advanced Allergy and Asthma of Virginia | 31143 Truamn St, Columbia, DE 29223 |
| Carmen Jimenez | Clinical Social Worker | 300 Berkshire Dr, Suite F, Columbia, SC 29223-1859 | |
| Philip J Michels | Psychologist, Clinical | 9890 Windsor Lake Blvd, Columbia, SC 29223-2028 | |
| Carl Dewayne Brinkman | Physician Assistant | United Physician Group LLC | 7201 Brookfield Rd, Columbia, SC 29223-2215 |
| Carl Issac Mitchell | Internal Medicine | 7201 Brookfield Rd, Columbia, SC 29223-2215 | |
| Robert W Christensen | Physician Assistant | Lexington County Health Services District Inc | 76 Polo Rd, Columbia, SC 29223-2806 |
| Beth Troy Maris | Clinical Social Worker | 9 Poachers Ln, Columbia, SC 29223-3014 | |
| John L Mason Sr. | Optometry | Mason Family Vision | 141 Wildewood Park Dr, Columbia, SC 29223-4300 |
| William E Siebers | Physical Therapy | Carolina Therapy Solutions LLC | 131 Wildewood Park Dr, Unit B, Columbia, SC 29223-4300 |
| Find all physicians in zip 29223 | |||
| City | COLUMBIA |
| Zip Code | 29223 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | COLUMBIA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Wachovia Chanta Banks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.