| Fisher Medical Pa | |
|
6 Barnette Dr Sumter SC 29150-8004 | |
| (803) 773-3391 | |
| (803) 773-0604 |
| Full Name | Fisher Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Barnette Dr, Sumter, South Carolina |
| Authorized Official Name and Position | Bret E Fisher (OWNER) |
| Authorized Official Contact | 8037733391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fisher Medical Pa 6 Barnette Dr Sumter SC 29150-8004 Ph: (803) 773-3391 | Fisher Medical Pa 6 Barnette Dr Sumter SC 29150-8004 Ph: (803) 773-3391 |
| NPI Number | 1578581252 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 10/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578581252 | NPI | - | NPPES |
| GP1490 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 445 (South Carolina) | Primary |
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