Individual
DR. DENNIS JEFFREY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 GAMECOCK AVE, SUITE E, CHARLESTON, SC 29407-3368
(843) 763-9664
(843) 763-2949
Mailing address
PO BOX 13955, CHARLESTON, SC 29422-3955
(843) 763-9664
(843) 763-2949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8383
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83830
—
SC
Enumeration date
06/07/2006
Last updated
08/10/2016
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