Individual
PHILIP A BANNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7011 SHALLOWFORD RD STE 106, CHATTANOOGA, TN 37421-6727
(423) 314-9107
Mailing address
710 LANTANA DR, SMYRNA, TN 37167-5875
(423) 314-9107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35052
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3864221
—
TN
Enumeration date
08/15/2006
Last updated
03/20/2026
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