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Individual

MR. DAVID GRAFTON FANNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4241 NW AMERICAN LANE, LAKE CITY, FL 32055
(386) 752-2246
(386) 758-7998
Mailing address
4241 NW AMERICAN LANE, LAKE CITY, FL 32055
(386) 752-2246
(386) 758-7998

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0005960
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051724100
FL
Enumeration date
02/08/2006
Last updated
12/24/2009
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