Individual
MATTHEW MIDDLETON FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-6000
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(919) 770-9016
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
RN226805
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
5886
NC
Other
Enumeration date
04/18/2014
Last updated
04/08/2026
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