Individual
DR. JAYANTHI CHAWAN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1336 COLUMBIA DR, SUITE B, DECATUR, GA 30032-2851
(404) 288-2600
(404) 288-9016
Mailing address
1336 COLUMBIA DR, SUITE B, DECATUR, GA 30032-2851
(404) 288-2600
(404) 288-9016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010766
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00401552A
—
GA
Enumeration date
05/16/2006
Last updated
03/31/2008
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