PHILLIP N BANNISTER

LAWRENCEVILLE, GA
NPI1679621908
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: GA  016503)
Enumeration Date2007-01-05
Last Update Date2007-07-08
Business Address
DR. PHILLIP N BANNISTER M.D.
601 OLD NORCROSS RD SUITE B
LAWRENCEVILLE, GA 30045-4311
Phone number: 770-962-3006
Mailing Address
DR. PHILLIP N BANNISTER M.D.
601 OLD NORCROSS RD SUITE B
LAWRENCEVILLE, GA 30045-4311
Phone number: 770-962-3006