DR. Walter Lee Fanning JR., M.D.

NPI #1639146780 in Concord, North Carolina

Provider Information

NPI Number
1639146780
Entity Type
Individual
Name
DR. Walter Lee Fanning JR., M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Infectious Disease
Credential
M.D.
Enumeration Date
Mar 7, 2006
Last Updated
Jul 13, 2010

Practice Location

Address
200 MEDICAL PARK DR STE 280
Address 2
CAROLINAS MEDICAL CENTER NORTH EAST
ZIP Code
28025-0935
Phone
(704) 403-1766

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Infectious DiseaseInfectious Disease

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Organizations

Provider Name
Cmc-Northeast, Inc.

Part of Cmc-Northeast, Inc.

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