Fancher, Gregory Nathan

Fancher, Gregory Nathan is an individual health care provider with primary practice located at 603 Barnwell Hwy , Allendale SC 29810-1905. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Fancher, Gregory Nathan can be contacted via phone (803) 584-4636.

Contact Information

Primary practice address
603 Barnwell Hwy Allendale SC 29810-1905
Phone: (803) 584-4636
Fax: (803) 584-5065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1578623914
LBN Legal business name Fancher, Gregory Nathan
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Aug 20th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578623914 NPPES
South Carolina MEDICAID 421504

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