Brae Acree Fannon, RN

NPI #1295877934 in Fort Benning, Georgia

Provider Information

NPI Number
1295877934
Entity Type
Individual
Name
Brae Acree Fannon, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Pediatrics
Credential
RN
Enumeration Date
Feb 12, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
7950 MARTIN LOOP
State
Georgia
ZIP Code
31905-5647
Phone
(706) 544-1477

Specialties & Taxonomy Codes

Specialty
Registered Nurse - PediatricsPediatrics

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