OrganizationActive
Banner Healthcare Services LLC
NPI 1740647692 · Prosthetic/Orthotic Supplier · Norcross, GA
Provider details
- NPI number
- 1740647692
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Authorized official
- Foster Jacobs, Owner
Practice location
1256 Oakbrook Dr
Ste C
Norcross, GA 30093-2247
Phone: (678) 993-3824
Fax: (678) 325-5601
Mailing address
1256 Oakbrook Dr
Norcross, GA 30093-2247
Registry dates
- Enumerated
- 2016-01-23
- Last updated
- 2016-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.