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1679621908
PHILLIP N BANNISTER
LAWRENCEVILLE, GA
NPI
1679621908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: GA 016503)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
Dr. PHILLIP N BANNISTER M.D.
601 OLD NORCROSS RD SUITE B
LAWRENCEVILLE, GA 30045-4311
Phone number: 770-962-3006
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Mailing Address
Dr. PHILLIP N BANNISTER M.D.
601 OLD NORCROSS RD SUITE B
LAWRENCEVILLE, GA 30045-4311
Phone number: 770-962-3006
Copy
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