| Doctor Name: | SHELIA FANKHAUSER |
| NPI Number: | 1295895977 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 12385 |
| Business Practice Address: | 2347 Hwy 17 Bus S Garden City, SC - 295767611 |
| Business Phone Number: | 8433572443 |
| Business Fax Number: | 8433572132 |
| Mailing Address: | 2347 Hwy 17 Business South, GARDEN CITY |
| State: | SC |
| Postal Code: | 295767611 |
| Phone Number: | 8433572443 |
| Fax Number: | 8433572132 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 10/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12385 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |