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Individual

MARY GRACE FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
141 PIEDMONT AVENUE, SUITE D, GEORGIA STATE UNIVERSITY, ATLANTA, GA 30303
(404) 413-1940
(404) 413-1954
Mailing address
921 VISTAVIA CIR, DECATUR, GA 30033-3428
(404) 633-2487

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN1299326
GA

Other

Enumeration date
08/25/2008
Last updated
08/25/2008
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