Individual
BRENDA SUE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1035 RED BUD RD NE, CALHOUN, GA 30701-6010
(706) 879-4776
(706) 879-4781
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002915
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106685B
—
GA
Enumeration date
08/30/2006
Last updated
12/20/2018
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