New Covenant Medical Associates

LBN: Philip Bannor Md Pllc
New Covenant Medical Associates is an health care organization with primary practice located at 6106 Shallowford Rd # 108, Chattanooga TN 37421-1615. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Philip Bannor Md Pllc can be contacted via phone (423) 553-6636, or through Bannor, Philip A via phone (423) 553-6636.

Contact Information

Primary practice address
6106 Shallowford Rd # 108 Chattanooga TN 37421-1615
Phone: (423) 553-6636
Fax: (423) 553-6667
Website:
Map and Directions
Authorized official contact:
Name: Bannor, Philip A Doctor of Medicine (MD)
Phone: (423) 553-6636

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1568596823
LBN Legal business name Philip Bannor Md Pllc
DBA Doing business as New Covenant Medical Associates
Authorized official Bannor, Philip A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Feb 16th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568596823 NPPES
Tennessee MEDICAID 3728871

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