Kenneth Fanning
NPI #1982273827 in Saint Marys, Georgia
Provider Information
- NPI Number
- 1982273827
- Entity Type
- Individual
- Name
- Kenneth Fanning
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jun 24, 2021
- Last Updated
- Jul 27, 2021
Practice Location
- Address
- 555 CHARLIE SMITH SR HWY
- City
- Saint Marys
- State
- Georgia
- ZIP Code
- 31558-3030
- Phone
- (904) 616-9096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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