Organization
FISHER FOOT CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA J FISHER DPM (OWNER)
(803) 536-2100
Entity
Organization
Contact information
Practice address
135 EXPRESS LN, ORANGEBURG, SC 29118-2475
(803) 536-2100
(803) 536-4399
Mailing address
135 EXPRESS LN, ORANGEBURG, SC 29118-2475
(803) 536-2100
(803) 536-4399
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
00567
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9922
—
SC
Enumeration date
12/13/2006
Last updated
12/08/2015
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