| John E Fanning,md,inc | |
|
420 Lowell Dr Se Suite 105 Huntsville AL 35801-3754 | |
| (256) 535-5970 | |
| Not Available |
| Full Name | John E Fanning,md,inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 420 Lowell Dr Se, Huntsville, Alabama |
| Authorized Official Name and Position | John E Fanning (OWNER) |
| Authorized Official Contact | 2565355940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John E Fanning,md,inc 420 Lowell Dr Se Ste 103 Huntsville AL 35801-3754 Ph: () - | John E Fanning,md,inc 420 Lowell Dr Se Suite 105 Huntsville AL 35801-3754 Ph: (256) 535-5970 |
| NPI Number | 1275984916 |
|---|---|
| Provider Enumeration Date | 06/23/2016 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275984916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22224 (Alabama) | Primary |
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