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Individual

DR. DAVID ROBERT CHARLES FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4106 COLUMBIA RD, SUITE 103, MARTINEZ, GA 30907-1450
(706) 863-1440
(706) 863-5418
Mailing address
4106 COLUMBIA RD, SUITE 103, MARTINEZ, GA 30907-1450
(706) 863-1440
(706) 863-5418

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
066368
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003107241A
GA
Enumeration date
06/25/2008
Last updated
11/23/2011
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