Individual
GARY T FISCHBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6124 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3820
(803) 226-0112
(803) 226-0132
Mailing address
6124 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3820
(803) 226-0112
(803) 226-0132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0502521
SC
207R00000X
Internal Medicine Physician
Primary
10758
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107583
—
SC
01
—
562134996
BCBS PROVIDER NUMBER
SC
Enumeration date
04/26/2006
Last updated
05/17/2026
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