Individual
PETER S FISCHBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MA
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322
(404) 256-2593
(678) 547-1494
Mailing address
2835 BRANDYWINE RD STE 300, ATLANTA, GA 30341-5540
(404) 256-2593
(678) 547-1494
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
57612
GA
2080P0202X
Pediatric Cardiology Physician
057612
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
576921248A
—
GA
Enumeration date
06/09/2006
Last updated
04/28/2021
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