Individual
GABRIEL E FISCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 PARK CREEK DR, GREENVILLE, SC 29605
(864) 797-7450
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6174
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
52513
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2013
Last updated
08/03/2018
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