Individual
DAVID C FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1910 GREGG ST, COLUMBIA, SC 29201-2618
(803) 779-1420
(803) 931-0676
Mailing address
1910 GREGG ST, COLUMBIA, SC 29201-2618
(803) 779-1420
(803) 931-0676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 17710
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080141877
MEDICARE RAILROAD
SC
05
—
177105
—
SC
Enumeration date
08/08/2006
Last updated
11/13/2007
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