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Individual

RICHARD L FISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9263 MEDICAL PLAZA DR, STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
(877) 561-7564
Mailing address
9263 MEDICAL PLAZA DR, STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
(877) 561-7564

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15087
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150874
SC
01
F587508104
MEDICARE ID
SC
Enumeration date
03/09/2006
Last updated
06/01/2012
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