| Dr Lauren Alexandra Fanning, DPT | |
|
6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 | |
| (762) 408-2273 | |
| Not Available |
| Full Name | Dr Lauren Alexandra Fanning |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 6600 Van Aalst Blvd, Fort Moore, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699559401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P22615 (North Carolina) | Primary |
| Provider Name | Cumberland County Hospital System Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
| Provider Name | Proactive Therapy Of North Carolina Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568468502 PECOS PAC ID: 6305753120 Enrollment ID: O20130207000475 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lauren Alexandra Fanning, DPT 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (762) 408-2273 | Dr Lauren Alexandra Fanning, DPT 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (762) 408-2273 |
Mr. Brian Kreisel, DPT, DSC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-1641 | |
Matthew Gale, PT, DPT, NCS, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-0455 | |
Dr. Eli English, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6691-6699 Bass Rd., Bldg 9216, Fort Moore, GA 31905 Phone: 706-626-2604 | |
Kelly Avant, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 443-504-3389 | |
James Meredith Samson Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 706-544-9063 Fax: 706-544-5670 | |
Dr. Randall William Sides, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Martin Army, 6600 Van Aalst Blvd, Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-0374 | |
Celina Chung, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 706-545-5560 |