Organization
BEHAVIORAL MEDICINE CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS G BANNISTER MD (PRESIDENT)
(901) 255-3030
Entity
Organization
Contact information
Practice address
5384 POPLAR AVE, STE 106, MEMPHIS, TN 38119-3609
(901) 255-3030
(901) 507-7811
Mailing address
PO BOX 770875, MEMPHIS, TN 38177-0875
(901) 255-3030
(901) 507-7811
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25198
TN
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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