Individual
MR. CHARLES RUSSELL FISHER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
266 HARTSVILLE PIKE, CARTHAGE, TN 37030-2100
(615) 281-8093
Mailing address
266 HARTSVILLE PIKE, CARTHAGE, TN 37030-2100
(615) 281-8093
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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