Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Phillip N Bannister, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1679621908

Dr. Phillip N Bannister, MD is an Obstetrics & Gynecology Physician in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Old Norcross Rd Ste B
Lawrenceville, GA 30045-4311
Phone: (770) 962-3006
Fax: (770) 962-9079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 016503 (GA)

Record details

NPI number1679621908
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 8, 2007
Mailing address601 Old Norcross Rd, Suite B, Lawrenceville, GA 30045-4311

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