Most Relevant Information
Provider Data
| NPI Number: | 1003414582 |
| Provider Name: | MARCUS STEPHEN WILBANKS |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN261766 |
Most Important Dates
| Enumeration Date: | 10/15/2020 |
| Last Updated: | 10/15/2020 |
Provider Practice Location
745 POPLAR RD
NEWNAN
GA
302651618
Practice Location Phone/Fax
| Phone: | 7704001000 |
| Fax: |
Provider Mailing Location
745 POPLAR RD
NEWNAN
GA
302651618
Provider Mailing Phone/Fax
| Phone: | 7704001000 |
| Fax: |