Organization
JOHN E FANNING,MD,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E FANNING MD (OWNER)
(256) 535-5940
Entity
Organization
Contact information
Practice address
420 LOWELL DR SE, SUITE 105, HUNTSVILLE, AL 35801-3754
(256) 535-5970
Mailing address
420 LOWELL DR SE, STE 103, HUNTSVILLE, AL 35801-3754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22224
AL
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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