PENNY FANNING

NORTH CHARLESTON, SC
NPI1912566365
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  22420)
Enumeration Date2019-06-10
Last Update Date2022-10-14
Business Address
PENNY FANNING
2910 TRICOM ST STE 100
NORTH CHARLESTON, SC 29406-9351
Phone number: 843-572-9211
Mailing Address
PENNY FANNING
PO BOX 751874
CHARLOTTE, NC 28275-1874
Phone number: 843-402-5200