Individual
DR. TIMOTHY LEE FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
Mailing address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6467
AK
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
201500226
NC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
348
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003481
—
SC
Enumeration date
07/17/2006
Last updated
07/13/2015
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