Brian Fann Pllc | |
1605 Nashville Hwy Ste 100 Columbia TN 38401-2071 | |
(931) 381-6880 | |
Not Available |
Full Name | Brian Fann Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 1605 Nashville Hwy Ste 100, Columbia, Tennessee |
Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 9728693789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brian Fann Pllc 1605 Nashville Hwy Ste 100 Columbia TN 38401-2071 Ph: (931) 381-6880 | Brian Fann Pllc 1605 Nashville Hwy Ste 100 Columbia TN 38401-2071 Ph: (931) 381-6880 |
NPI Number | 1093389793 |
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Provider Enumeration Date | 05/17/2021 |
Last Update Date | 05/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093389793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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