Individual
BRIAN CARNELLO FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1502 W NC HIGHWAY 54 STE 103, DURHAM, NC 27707-5572
(919) 354-0850
Mailing address
1502 W NC HIGHWAY 54 STE 103, DURHAM, NC 27707-5572
(919) 354-0850
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0010-09635
NC
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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