Dr HEATHER LESLIE BANNISTER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.
VITALITY MEDICAL CENTERS INC.
103 SUM MOR DR
WEST COLUMBIA
SC
291694828
Tel: 8032449212
| Npi | 1821528258 |
| Pac Id | 1254601909 |
| Professional Enrollment Id | I20170727004143 |
| Last Name | BANNISTER |
| First Name | HEATHER |
| Middle Name | LESLIE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | VITALITY MEDICAL CENTERS INC. |
| Group Practice Pac Id | 5890964340 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 103 SUM MOR DR |
| Line 2 Street Address | |
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| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 291694828 |
| Phone Number | 8032449212 |
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| Professional Accepts Medicare Assignment | Y |
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