Individual
DR. QUENTIN L FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MOCCASIN BEND RD, CHATTANOOGA, TN 37405-4415
(423) 785-3413
Mailing address
100 MOCCASIN BEND ROAD, MBMHI, CHATTANOOGA, TN 37405
(423) 785-3413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD017813
TN
Other
Enumeration date
02/01/2007
Last updated
03/15/2011
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