| Kenneth Fanning, | |
|
555 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3030 | |
| (904) 616-9096 | |
| Not Available |
| Full Name | Kenneth Fanning |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 555 Charlie Smith Sr Hwy, Saint Marys, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982273827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | PHWH005053 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Fanning, 1536 N Market St, Jacksonville, FL 32206-4540 Ph: (904) 616-9096 | Kenneth Fanning, 555 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3030 Ph: (904) 616-9096 |
Mr. Anthony Lee Kicklighter, RPH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 214 Professional Cir Ste B, Saint Marys, GA 31558 Phone: 912-673-8220 Fax: 912-673-7035 | |
Myra Leigh Robertson, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2700 Osborne Rd, Saint Marys, GA 31558 Phone: 912-882-4841 | |
Wallace Hoyle Lowder Jr., Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 6586 Hwy 40, Saint Marys, GA 31558 Phone: 912-882-0772 | |
Dr. Marjorie J Howard, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 205 Lakeshore Pt, Saint Marys, GA 31558 Phone: 912-510-3420 Fax: 912-510-3429 |