Individual
STEPHEN RONALD FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 OLD MILTON PKWY STE 190, ALPHARETTA, GA 30005-3707
(770) 663-1100
(770) 663-1101
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
062037
GA
207X00000X
Orthopaedic Surgery Physician
SF068421
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107001A
—
GA
05
—
003107001B
—
GA
05
—
003107001C
—
GA
05
—
003107001D
—
GA
05
—
003107001E
—
GA
01
—
2151393
UNITEH HEALTHCARE
GA
05
—
4352496
—
MI
01
—
52305563
BCBS
GA
01
—
7337297
AETNA
GA
01
—
8306576
CIGNA
GA
Enumeration date
03/16/2006
Last updated
02/26/2021
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