Individual
MARY B FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 GUESS LANE, ST MATTHEWS, SC 29135
(803) 874-2301
(803) 655-5388
Mailing address
2319 ST MATTHEWS ROAD, ORANGEBURG, SC 29118
(803) 536-1571
(803) 536-1463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
39335
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413093
—
SC
Enumeration date
07/10/2006
Last updated
07/08/2007
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