Organization
CARESTAR MEDICAL PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP A BANNOR (MEDICAL DIRECTOR)
(423) 505-0616
Entity
Organization
Contact information
Practice address
1720 GUNBARREL RD STE 300, CHATTANOOGA, TN 37421-3192
(423) 505-0616
Mailing address
710 LANTANA DR, SMYRNA, TN 37167-5875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q110616
—
TN
Enumeration date
01/20/2025
Last updated
05/04/2026
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