Individual
ERIC B FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
4300 COLUMNS DR SE, MARIETTA, GA 30067-4814
(770) 303-0704
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
032183
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
032183
GA
207LP3000X
Pediatric Anesthesiology Physician
032183
GA
208VP0000X
Pain Medicine Physician
032183
GA
208VP0014X
Interventional Pain Medicine Physician
032183
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000444232H
—
GA
Enumeration date
02/01/2007
Last updated
08/29/2019
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