MATTHEW CLARK FANNING

TUSCALOOSA, AL
NPI1699568444
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL  1-105627)
Enumeration Date2025-05-26
Last Update Date2025-05-26
Business Address
MATTHEW CLARK FANNING PMHNP-BC
1401 GREENSBORO AVE
TUSCALOOSA, AL 35401-2842
Phone number: 205-391-4000
Mailing Address
MATTHEW CLARK FANNING PMHNP-BC
3709 DIAMOND LN
NORTHPORT, AL 35473-2642
Phone number: 205-792-4167
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