Richard Bruce Bannon, MD | |
391 Glenn Springs Rd, Pacolet, SC 29372-2417 | |
(864) 474-3013 | |
(864) 474-1501 |
Full Name | Richard Bruce Bannon |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 391 Glenn Springs Rd, Pacolet, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912959362 | NPI | - | NPPES |
P00386835 | Other | GA | MEDICARE RAILROAD PTAN# |
072398 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7239 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Richard Bruce Bannon, MD 391 Glenn Springs Rd, Pacolet, SC 29372-2417 Ph: (864) 474-3013 | Richard Bruce Bannon, MD 391 Glenn Springs Rd, Pacolet, SC 29372-2417 Ph: (864) 474-3013 |
Dr. Kameron Burke Klosterman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7221 S Pine St, Pacolet, SC 29372 Phone: 864-474-1528 Fax: 864-474-1049 | |
Dr. Preston Eddie Bishop, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7221 S Pine St, Pacolet, SC 29372 Phone: 864-474-1528 Fax: 864-474-1049 |