Provider Demographics
NPI:1285949453
Name:BANAS, ALLISON MCGEE (PT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MCGEE
Last Name:BANAS
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2618 KENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-3638
Mailing Address - Country:US
Mailing Address - Phone:404-441-0893
Mailing Address - Fax:
Practice Address - Street 1:150 ATHENS HWY
Practice Address - Street 2:SUITE 600
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-2277
Practice Address - Country:US
Practice Address - Phone:770-554-2307
Practice Address - Fax:770-554-2309
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009985225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist