Organization
EDWARD J FISHER JR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J FISHER JR. MD (PRESIDENT)
(706) 316-1908
Entity
Organization
Contact information
Practice address
1361 JENNINGS MILL RD, BLDG 200 STE 201, BOGART, GA 30622
(706) 316-1908
(706) 316-2062
Mailing address
1361 JENNINGS MILL RD, BLDG 200 STE 201, BOGART, GA 30622
(706) 316-1908
(706) 316-2062
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
043369
GA
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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