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Dr. Walter Lee Fanning JR., MD
Infectious Disease Physician in Concord, North Carolina
NPI 1639146780

Walter Lee Fanning JR. is a Infectious Disease Physician based in Concord, NC and is specialized in Infectious Disease. Walter Lee Fanning JR. practices in Concord, NC and has the professional credentials of MD. The NPI Number for Walter Lee Fanning JR. is 1639146780 and holds a License No. 2006-00672 (North Carolina).

The current practice location address for Walter Lee Fanning JR. is 200 Medical Park Dr Ste 280, Concord, NC and can be reached out via phone at 704-403-1766 and via fax at 704-403-1096.

Location: 200 Medical Park Dr Ste 280, Concord, NC, 28025-0935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639146780
Provider Name
Walter Lee Fanning JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Medical Park Dr Ste 280, Concord, NC, 28025-0935
Phone Number
704-403-1766
Fax Number
704-403-1096
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1527547 01 NC CIGNA
00339806 01 NC RAILROAD MEDICARE
142K2 01 NC BCBSNC
2055819A 01 NC MEDICARE PTAN, INDIVIDUAL
190800 01 NC MEDCOST
808032 01 NC PARTNERS MEDICARE CHOICE
4302912 01 NC AETNA
232009 01 NC MEDICARE PTAN, GROUP
5903747 05 NC
institution
Provider Business Practice Location Address Details
Address
200 Medical Park Dr Ste 280
City
Concord
State
North Carolina
Zip
28025-0935
Phone Number
704-403-1766
Fax Number
704-403-1096
person
Provider Business Mailing Address Details
Address
200 Medical Park Dr Ste 280
City
Concord
State
North Carolina
Zip
28025-0935
Phone Number
704-403-1766
Fax Number
704-403-1096
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Infectious Disease
Taxonomy
207RI0200X
License No.
2006-00672 (North Carolina)
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
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