NPI 1104771450

Amy Bannerman, PHLEBOTOMIST

Practitioner Pathology Specialist/Technologist Wallace, NC

Practice location

Address: 133 Glendale Village Ln, Wallace, NC 28466-1637
Phone: (910) 787-6633

Registered specialties

Pathology Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Q00000X Licence Y2G5T7L7 (NC)

Other Specialist/Technologist, Pathology providers in North Carolina →

Registry record

NPI: 1104771450
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Mar 2026
Record last updated: 2 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.