Individual
GREGORY NATHAN FANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
603 BARNWELL HWY, ALLENDALE, SC 29810-1905
(803) 584-4636
(803) 584-5065
Mailing address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 524-8899
(843) 524-8179
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
12/08/2006
Last updated
08/20/2010
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