Individual
JOHN GODFREY FISHER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-BC
Contact information
Practice address
617 PALISADE DR, BRUNSWICK, GA 31523-8211
(912) 694-1094
Mailing address
1464 GOLF TERRACE BLVD APT 1, FLORENCE, SC 29501-0227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28844
SC
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP002713
GA
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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