Penny Fanning, | |
2910 Tricom St Ste 100, North Charleston, SC 29406-9351 | |
(843) 572-9211 | |
Not Available |
Full Name | Penny Fanning |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2910 Tricom St Ste 100, North Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912566365 | NPI | - | NPPES |
NP6107 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 22420 (South Carolina) | Primary |
Entity Name | Bon Secours St Francis Xavier Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770867442 PECOS PAC ID: 8325008717 Enrollment ID: O20041011000439 |
Entity Name | Charleston Oncology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427140425 PECOS PAC ID: 3173521002 Enrollment ID: O20061201000038 |
Mailing Address | Practice Location Address |
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Penny Fanning, Po Box 751874, Charlotte, NC 28275-1874 Ph: (843) 402-5200 | Penny Fanning, 2910 Tricom St Ste 100, North Charleston, SC 29406-9351 Ph: (843) 572-9211 |
Mr. Richard Dale Brinson, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9330 Medical Plaza Dr, North Charleston, SC 29406 Phone: 843-847-4595 | |
Kimberly Lynn Rhoton, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4050 Bridge View Dr, Suite 500, Perimeter Center, North Charleston, SC 29405 Phone: 843-746-4030 | |
Whitney Naramore Huff, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4975 Lacross Rd Ste 110, North Charleston, SC 29406 Phone: 843-797-1941 Fax: 843-574-1698 | |
Mrs. Dodi Lynn Baum, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9267 Medical Plaza Dr Ste G, North Charleston, SC 29406 Phone: 843-797-3636 | |
Tina Withrow, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2910 Tricom St, North Charleston, SC 29406 Phone: 843-572-9211 Fax: 843-572-0457 | |
Hannah Dweikat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4920 Ohear Ave Ste 101, North Charleston, SC 29405 Phone: 843-856-3784 | |
Madison Sheheane, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8471 Resolute Way Ste 102, North Charleston, SC 29420 Phone: 843-876-2879 |