Individual
HAYLEY ELIZABETH FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS PA-C
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(814) 289-9156
Mailing address
PO BOX 281908, ATLANTA, GA 30384-1908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006791
VA
363AS0400X
Surgical Physician Assistant
0110006791
VA
Other
Enumeration date
08/21/2019
Last updated
01/04/2022
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