Fisher, David Robert Charles

Fisher, David Robert Charles is an individual health care provider with primary practice located at 4106 Columbia Rd Suite 103, Martinez GA 30907-1450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fisher, David Robert Charles can be contacted via phone (706) 863-1440.

Contact Information

Primary practice address
4106 Columbia Rd Suite 103 Martinez GA 30907-1450
Phone: (706) 863-1440
Fax: (706) 863-5418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 066368 Georgia

Profile Details

NPI number 1346402088
LBN Legal business name Fisher, David Robert Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Nov 23rd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346402088 NPPES
Georgia MEDICAID 003107241A

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