Individual
DR. PETER THOMAS FANIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT EISENHOWER, GA 30905-5650
(706) 787-7300
Mailing address
300 EAST HOSPITAL ROAD, FORT EISENHOWER, GA 30905-5650
(706) 787-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17629
GA
Other
Enumeration date
05/16/2025
Last updated
07/18/2025
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