Individual
JACK FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 23RD AVE N STE 101, NASHVILLE, TN 37203-1525
(615) 329-4227
(615) 329-8931
Mailing address
310 23RD AVE N STE 101, NASHVILLE, TN 37203-1525
(615) 329-4227
(615) 329-8931
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD17457
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4055109
BLUE CROSS BLUE SHIELD
TN
Enumeration date
02/27/2007
Last updated
07/08/2007
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