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Individual

MS. INGRID FANNIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
3699 BAKERS FERRY RD SW, ADAMSVILLE HEALTH CENTER, ATLANTA, GA 30331
(404) 699-4215
(404) 505-5724
Mailing address
99 JESSE HILL JR DR, ATLANTA, GA 30303
(404) 730-1211
(404) 224-3105

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R106327
GA

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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