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Contact Information

AMY BANNERMAN, PHLEBOTOMIST
133 GLENDALE VILLAGE LN
WALLACE, NC28466-1637
 Phone: 910-787-6633
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Pathology

246Q00000X
Indicates primary specialty

NPI Profile & details for AMY BANNERMAN · (Female)

NPI Number 1104771450
Status Active
Credentials PHLEBOTOMIST
Entity Individual
Enumeration date 03/02/2026
Last updated 03/02/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • NC License # Y2G5T7L7
Hospital affiliation(s) Not Available
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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