Bannister, Thomas William

Bannister, Thomas William is an individual health care provider with primary practice located at 9 Medical Park Suite 530, Columbia SC 29203-6859. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Bannister, Thomas William can be contacted via phone (803) 434-4603.

Contact Information

Primary practice address
9 Medical Park Suite 530 Columbia SC 29203-6859
Phone: (803) 434-4603
Fax: (803) 434-3866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23586 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 23586 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 99621 Florida

Profile Details

NPI number 1134240104
LBN Legal business name Bannister, Thomas William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Oct 4th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134240104 NPPES
South Carolina MEDICAID 235862

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