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Organization

CARESTAR HEALTH ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP A. BANNOR MD (PHYSICIAN)
(423) 760-8700
Entity
Organization

Contact information

Practice address
6106 SHALLOWFORD RD STE 108, CHATTANOOGA, TN 37421-2280
(423) 760-8700
(423) 760-8703
Mailing address
6106 SHALLOWFORD RD STE 108, CHATTANOOGA, TN 37421-2280
(423) 760-8700
(423) 760-8703

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35052
TN
208VP0000X
Pain Medicine Physician
Primary
35052
TN

Other

Enumeration date
03/01/2017
Last updated
03/01/2017
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