| Dr. George H. Fann, D.m.d., P.a. | |
|
111 Professional Ave West Columbia SC 29169-4711 | |
| (803) 796-0666 | |
| (803) 796-8753 |
| Full Name | Dr. George H. Fann, D.m.d., P.a. |
|---|---|
| Speciality | Dentist |
| Location | 111 Professional Ave, West Columbia, South Carolina |
| Authorized Official Name and Position | Todd Elliott (OWNER) |
| Authorized Official Contact | 8037960666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. George H. Fann, D.m.d., P.a. 111 Professional Ave West Columbia SC 29169-4711 Ph: (803) 796-0666 | Dr. George H. Fann, D.m.d., P.a. 111 Professional Ave West Columbia SC 29169-4711 Ph: (803) 796-0666 |
| NPI Number | 1013256627 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013256627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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