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1912566365
PENNY FANNING
NORTH CHARLESTON, SC
NPI
1912566365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 22420)
Enumeration Date
2019-06-10
Last Update Date
2022-10-14
Business Address
PENNY FANNING
2910 TRICOM ST STE 100
NORTH CHARLESTON, SC 29406-9351
Phone number: 843-572-9211
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Mailing Address
PENNY FANNING
PO BOX 751874
CHARLOTTE, NC 28275-1874
Phone number: 843-402-5200
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