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Contact Information

CARROLL B BANNISTER, MD
701 MEDICAL PARK DR
SUITE 101
HARTSVILLE, SC29550-4777
 Phone: 843-339-4295
 Fax: 843-339-4609
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CARROLL B BANNISTER · (Male)

NPI # 1689692253
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2006
Last updated 03/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 7718
  • SC Medicaid 077188
Hospital affiliation(s)
  • CAROLINA PINES REGIONAL MEDICAL CENTER - (Acute Care)
    1304 W BOBO NEWSOM HWY
    HARTSVILLE, SC 29550
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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