Individual
JAMES FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACEP
Contact information
Practice address
7519 HOSPITAL DR, GLOUCESTER, VA 23061-4178
(757) 594-2000
Mailing address
PO BOX 601789, CHARLOTTE, NC 28260-1789
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101-029550
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005821835
—
VA
05
—
1316964885
—
VA
Enumeration date
07/17/2006
Last updated
05/30/2008
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