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Individual

GREGORY THOMAS FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
PO BOX 519, FORT MILL, SC 29716-0519

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
136127
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
6656
NC

Other

Enumeration date
06/07/2021
Last updated
06/08/2021
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