Organization
TIMOTHY M. FISHER, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MARK FISHER D.O. (OWNER)
(931) 473-4441
Entity
Organization
Contact information
Practice address
140 VO TECH DR, SUITE 6, MC MINNVILLE, TN 37110-1329
(931) 473-4441
(931) 473-5031
Mailing address
140 VO TECH DR, SUITE 6, MC MINNVILLE, TN 37110-1329
(931) 473-4441
(931) 473-5031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO0000000851
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3374306
—
TN
Enumeration date
03/15/2007
Last updated
08/22/2020
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