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Individual

DR. PAUL M FISCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4039 GATEWAY BLVD, GATEWAY BLVD, GROVETOWN, GA 30813-3195
(706) 922-1600
(706) 922-1010
Mailing address
PO BOX 2510, EVANS, GA 30809
(706) 650-7799
(706) 650-9540

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025973
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00278297B
GA
01
10057146
AMERIGROUP
GA
01
336962
WELLCARE
GA
01
CH0654
RR MEDICARE GROUP PIN
GA
05
G25973
SC
Enumeration date
06/14/2006
Last updated
04/21/2016
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