Individual
CHRISTOPHER FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
973 CHURCH ST, DECATUR, GA 30030-5508
(404) 538-5740
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
106350
GA
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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