Search › Georgia › 175T00000X
Michael O'Bannon
NPI 1750771531 · on the registry since 2015
Practice
- Address
- 3708 Chinaberry Ln
Snellville, GA 30039 - Phone
- (678) 768-4096
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-30
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