# THOMAS WILLIAM BANNISTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134240104
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 23586 | SC | Yes |
| 2080P0203X | Pediatric Critical Care Medicine Physician | 23586 | SC | — |
| 2080P0203X | Pediatric Critical Care Medicine Physician | 99621 | FL | — |
| 208M00000X | Hospitalist Physician | 23586 | SC | — |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 11/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 235862 | — | SC |