IndividualActive
Antoinette Bannister, M.D.
NPI 1174579254 · Pediatrics Physician · Clemson, SC
Provider details
- NPI number
- 1174579254
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 36764 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
450 Old Greenville Hwy
Clemson, SC 29631-1670
Phone: (864) 653-8964
Approximate (ZIP-level) locationGet directions
Mailing address
300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842
Additional practice locations (1)
- 111 Omni DriveSeneca, SC 29672-9448Phone: (864) 888-4222Fax: (864) 888-0023
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.