Individual
SHELIA FANKHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2347 HWY 17 BUS S, GARDEN CITY, SC 29576-7611
(843) 357-2443
(843) 357-2132
Mailing address
2347 HWY 17 BUSINESS SOUTH, GARDEN CITY, SC 29576-7611
(843) 357-2443
(843) 357-2132
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12385
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141965
—
SC
Enumeration date
12/11/2006
Last updated
10/31/2008
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