Individual
DR. DAVID W. FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2162
(901) 818-2163
Mailing address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2162
(901) 818-2163
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD15058
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018364
—
MS
05
—
114219001
—
AR
05
—
202487914
—
MO
05
—
3023244
—
TN
Enumeration date
02/23/2006
Last updated
05/22/2008
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