Edward J Fisher Jr Md Inc

NPI 1083736961 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1083736961
Enumeration Date 04/04/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EDWARD J EDWARD
Position PRESIDENT
Phone (706) 316-1908
Fax (706) 316-2062
Practice Location
1361 JENNINGS MILL RD
BLDG 200 STE 201
BOGART GA, 30622, US
Phone (706) 316-1908
Fax (706) 316-2062
Business Location
1361 JENNINGS MILL RD
BLDG 200 STE 201
BOGART GA, 30622, US
Phone (706) 316-1908
Fax (706) 316-2062
Toxanomy
Taxonomy Code 2084P0800X
License State Georgia
License Number 043369
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According to our database, Edward J Fisher Jr Md Inc NPI is 1083736961, taxonomy code is 2084P0800X and license number is 043369, license state is located at Georgia. Edward J Fisher Jr Md Inc physically located at 1361 Jennings Mill Rd, Bogart GA, 30622. NPI Number 1033115704 has the healthcare provider type.

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1083736961 NPI number is provided on an as is basis without warranty of any kind. 1083736961 is maintained by the National Plan & Provider Enumeration System. The contents of Edward J Fisher Jr Md Inc are for informational purposes only.