Individual
DR. CEDRIC MAURICE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6554
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36464
SC
207R00000X
Internal Medicine Physician
MD437339
PA
208M00000X
Hospitalist Physician
Primary
36464
SC
208M00000X
Hospitalist Physician
MD437339
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023307410001
—
PA
05
—
1316122682
—
NC
05
—
364643
—
SC
01
—
9836366
AETNA
PA
01
—
P01353108
RAILROAD MEDICARE
—
Enumeration date
01/07/2008
Last updated
09/07/2023
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