Individual
EDWIN DALE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2055
Mailing address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1711
TN
Other
Enumeration date
04/28/2009
Last updated
10/02/2012
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