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Individual

DEIDRE FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1140 HAMMOND DR NE, BUILDING F SUITE 6220, ATLANTA, GA 30328-5338
(770) 913-0001
Mailing address
1140 HAMMOND DR NE, BUILDING F SUITE 6220, ATLANTA, GA 30328-5338
(770) 913-0001

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
056548
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056548
LICENSE
GA
Enumeration date
11/17/2006
Last updated
10/14/2021
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