Individual
DR. SUZANNE REIM FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
65 INTERNATIONAL DR, GREENVILLE, SC 29615-4816
(864) 987-7000
(864) 987-7020
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1057
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010571
—
SC
Enumeration date
06/04/2007
Last updated
08/02/2013
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