Individual
COURTNEY M FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 ASHLEY AVE, CHARLESTON, SC 29403-4616
(843) 577-7791
(843) 577-9136
Mailing address
PO BOX 20939, CHARLESTON, SC 29413-0939
(843) 577-7791
(843) 577-9136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11626
SC
208800000X
Urology Physician
Primary
11626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116261
—
SC
Enumeration date
04/04/2006
Last updated
01/09/2012
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