Organization
MEDICAL PRACTICE OF JAMES L. FISHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L FISHER (OWNER)
(770) 422-1985
Entity
Organization
Contact information
Practice address
140 LACY ST NW, SUITE A, MARIETTA, GA 30060-1154
(770) 422-1985
(770) 422-2814
Mailing address
140 LACY ST NW, SUITE A, MARIETTA, GA 30060-1154
(770) 422-1985
(770) 422-2814
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
025749
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104981232
NPI
GA
Enumeration date
10/17/2007
Last updated
10/17/2007
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