# FISHER MEDICAL PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578581252
- **Authorized official:** BRET E FISHER DO (OWNER)
- **Authorized official phone:** (803) 773-3391

## Contact information

- **Practice address:** 6 BARNETTE DR, SUMTER, SC 29150-8004
- **Practice address phone:** (803) 773-3391
- **Practice address fax:** (803) 773-0604
- **Mailing address:** 6 BARNETTE DR, SUMTER, SC 29150-8004
- **Mailing address phone:** (803) 773-3391
- **Mailing address fax:** (803) 773-0604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 445 | SC | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 10/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP1490 | — | SC |