Individual
TANYA FANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ROOM 4520, HSC SOUTH, MORGANTOWN, WV 26506-9200
(304) 293-3233
Mailing address
PO BOX 9200, HSC SOUTH, MORGANTOWN, WV 26506-9200
(304) 293-3233
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
22942
WV
207Y00000X
Otolaryngology Physician
31403
SC
Other
Enumeration date
07/20/2007
Last updated
01/06/2021
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