Individual
J. MEREINDA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM-CPM
Contact information
Practice address
409 MADISON CREEK COURT, LYMAN, SC 29365-3726
(864) 354-8166
Mailing address
409 MADISON CREEK CT, LYMAN, SC 29365-1254
(864) 354-8166
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
08
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08
STATE LICENSE
SC
05
—
LM0005
—
SC
Enumeration date
05/09/2006
Last updated
05/13/2011
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