Individual
DR. LEONARD FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 BLUE CREEK RD, CLARKESVILLE, GA 30523
(706) 754-4540
Mailing address
PO BOX 245, CLARKESVILLE, GA 30523-0005
(706) 754-4540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10792
GA
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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