Edward J Fisher Jr Md Inc | |
1361 Jennings Mill Rd Bldg 200 Ste 201 Bogart GA 30622 | |
(706) 316-1908 | |
(706) 316-2062 |
Full Name | Edward J Fisher Jr Md Inc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1361 Jennings Mill Rd, Bogart, Georgia |
Authorized Official Name and Position | Edward J Fisher (PRESIDENT) |
Authorized Official Contact | 7063161908 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Edward J Fisher Jr Md Inc 1361 Jennings Mill Rd Bldg 200 Ste 201 Bogart GA 30622 Ph: (706) 316-1908 | Edward J Fisher Jr Md Inc 1361 Jennings Mill Rd Bldg 200 Ste 201 Bogart GA 30622 Ph: (706) 316-1908 |
NPI Number | 1083736961 |
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Provider Enumeration Date | 04/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083736961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 043369 (Georgia) | Primary |
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