Organization
FISHER MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRET E FISHER DO (OWNER)
(803) 773-3391
Entity
Organization
Contact information
Practice address
6 BARNETTE DR, SUMTER, SC 29150-8004
(803) 773-3391
(803) 773-0604
Mailing address
6 BARNETTE DR, SUMTER, SC 29150-8004
(803) 773-3391
(803) 773-0604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
445
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1490
—
SC
Enumeration date
07/18/2006
Last updated
10/06/2008
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