Individual
JOHN W FISK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1407 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-6203
(615) 444-6252
Mailing address
1407 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-6203
(615) 444-6252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12113
MS
207Q00000X
Family Medicine Physician
Primary
45857
TN
Other
Enumeration date
07/26/2006
Last updated
12/21/2021
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