Philip Bannor MD Pllc

NPI #1568596823 in Chattanooga, Tennessee

Provider Information

NPI Number: 1568596823
Entity Type: Organization
Organization Name: Philip Bannor MD Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Mar 16, 2007
Last Updated: Feb 16, 2011

Practice Location

Address: 6106 SHALLOWFORD RD
Address 2: # 108
City: Chattanooga
State: Tennessee
ZIP Code: 37421-1615
Phone: (423) 553-6636

Authorized Official

Name: PHILIP A BANNOR, MD
Title: PRESIDENT
Phone: (423) 553-6636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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