Individual
DR. CARL ELLIS FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2544 COURT DR, SUITE C, GASTONIA, NC 28054-3450
(704) 867-5356
(704) 867-4990
Mailing address
2544 COURT DR, SUITE C, GASTONIA, NC 28054-3450
(704) 867-5356
(704) 867-4990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00-16359
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8932130
—
NC
05
—
NC2886
—
SC
Enumeration date
01/05/2006
Last updated
11/16/2016
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