Individual
BRENT EDWARD FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
159 WEAVER BLVD, WEAVERVILLE, NC 28787-8345
(828) 258-8800
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2015-02102
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2015-02102
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
32805
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328050
—
SC
Enumeration date
05/21/2010
Last updated
01/10/2025
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