O'Bannon, Robert T.

O'Bannon, Robert T. is an individual health care provider with primary practice located at 13040 Abercorn St Suite 2, Savannah GA 31419-1955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. O'Bannon, Robert T. can be contacted via phone (770) 645-9181.

Contact Information

Primary practice address
13040 Abercorn St Suite 2 Savannah GA 31419-1955
Fax: (770) 645-8455
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 22326 West Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 060309 Georgia

Profile Details

NPI number 1639191612
LBN Legal business name O'Bannon, Robert T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639191612 NPPES
Georgia MEDICAID 433679505B

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