Dr. Phillip N Bannister, M.D.
Obstetrics & Gynecology in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1679621908
StatusActive
Last updated in NPPESSep 27, 2026
Details
- NPI
- 1679621908
- Entity type
- Individual (NPI-1)
- Name
- Dr. Phillip N Bannister
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 5, 2007
- Last updated
- Sep 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 016503 | GA | Yes |
Practice location
601 Old Norcross RdSuite B
Lawrenceville, GA 30045-4311
Phone 770-962-3006 · Fax 770-962-9079
Mailing address
601 Old Norcross RdSuite B
Lawrenceville, GA 30045-4311
Phone 770-962-3006 · Fax 770-962-9079
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