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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMY BANNERMAN, PHLEBOTOMIST

Active Sole Proprietor

AMY BANNERMAN, PHLEBOTOMIST is a Specialist/Technologist, Pathology healthcare provider located in WALLACE, North Carolina. NPI 1104771450 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Pathology · WALLACE, NC

Registration Details

NPI Number
1104771450
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2026 (0.46341888483419 yrs)
Last Updated
Mar 2, 2026
License
Y2G5T7L7 (NC)
Sole Proprietor
Yes

Practice Information

Address
133 GLENDALE VILLAGE LN
WALLACE, NC, 284661637
Browse NC providers · Browse ZIP 28466
Phone
9107876633
Primary Specialty
Specialist/Technologist, Pathology
246Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.