Individual
JOSHUA RYAN FANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
918 E 72ND ST, SAVANNAH, GA 31405-4917
(912) 344-9599
(912) 335-3435
Mailing address
918 E 72ND ST, SAVANNAH, GA 31405-4917
(912) 344-9599
(912) 335-3435
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
57
GA
Other
Enumeration date
04/19/2012
Last updated
12/01/2022
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