Individual
HEIDIE A FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3959 US 411, MADISONVILLE, TN 37354-4417
(423) 442-2121
(423) 545-9556
Mailing address
PO BOX 808, KINGSTON, TN 37763-0808
(865) 224-7172
(865) 224-7171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2470
TN
363AM0700X
Medical Physician Assistant
Primary
2470
TN
Other
Enumeration date
03/06/2014
Last updated
11/04/2024
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