Kathy D Fanning

NPI #1558919621 in Grayson, Georgia

Provider Information

NPI Number
1558919621
Entity Type
Individual
Name
Kathy D Fanning
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Aug 30, 2019
Last Updated
Aug 30, 2019

Practice Location

Address
742 HERITAGE POST LN
State
Georgia
ZIP Code
30017-1692
Phone
(770) 313-2257

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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