Organization
AEF MANAGEMENT GROUP
Active
Other names
Carolina Imaging Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE FANCHER M.D. (PRESIDENT)
(217) 464-5839
Entity
Organization
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-5839
Mailing address
PO BOX 48, MT ZION, IL 62549-0048
(217) 464-5839
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
IL
2085R0202X
Diagnostic Radiology Physician
—
IN
2085R0202X
Diagnostic Radiology Physician
Primary
—
SC
Other
Enumeration date
09/29/2006
Last updated
09/11/2025
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