Individual
ANTONIO FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PP
Contact information
Practice address
5680 FULTON INDUSTRIAL BLVD SW, ATLANTA, GA 30336-2659
(404) 346-3471
Mailing address
1449 RAINTREE DR APT J, ROSWELL, GA 30076-2717
(678) 748-0010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
GA
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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