Individual
DR. RAYNARD G. FABIANKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 4TH STREET, RED BAY, AL 35582
(256) 356-9511
(256) 356-9339
Mailing address
PO BOX 429, RED BAY, AL 35582-0429
(256) 356-9511
(256) 356-9339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7483
AL
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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