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Organization
JOHN M FISH DDS PA
Active
Organization
JOHN M FISH DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN S. TURNER (OFFICE MANAGER)
(828) 397-5514
Entity
Organization
Contact information
Practice address
607 US HIGHWAY 70 W, HILDEBRAN, NC 28637-8323
(828) 397-5514
(828) 397-3980
Mailing address
PO BOX 665, HILDEBRAN, NC 28637-0665
(828) 397-5514
(828) 397-3980
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
5079
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659555720
NPI
NC
Enumeration date
04/24/2014
Last updated
04/24/2014
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