Search › Georgia › Obstetrics & Gynecology Physician
Phillip Bannister, M.D
NPI 1679621908 · on the registry since 2007 · sole proprietor
Practice
- Address
- 601 Old Norcross Rd
Suite B
Lawrenceville, GA 30045 - Phone
- (770) 962-3006
- Fax
- (770) 962-9079
- Organisation at this address
- Ivy League Pediatrics
Gwinnett Internal Medicine Associates LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Obstetrics & Gynecology Physician
207V00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia