JACOB FANNING

COLUMBIA, SC
NPI1114721248
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: SC  LL94527)
Enumeration Date2025-04-01
Last Update Date2025-07-16
Business Address
JACOB FANNING DO
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 29203-6896
Phone number: 803-434-3790
Mailing Address
JACOB FANNING DO
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 29203-6896
Phone number:
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