Individual
DANA R BANNERMAN
Active
Individual
DANA R BANNERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34669
TN
208M00000X
Hospitalist Physician
34669
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38807461
—
TN
01
—
4171393
BLUE CROSS BLUE SHIELD
TN
01
—
7082394
AETNA
TN
Enumeration date
06/09/2005
Last updated
03/23/2026
Update your record
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