Individual
VANESSA FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2730 UNIVERSITY BLVD W, STE 104, WHEATON, MD 20902-1905
(301) 942-8799
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0052841
MD
Other
Enumeration date
04/27/2006
Last updated
10/24/2007
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