| Organization Name: | FISHER FOOT AND ANKLE |
| NPI Number: | 1013038587 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANA JUSTINE FISHER (OWNER/PRACTITIONER) |
| Mailing Address: | 1124 North Tennessee St Suite 104 Cartersville |
| State: | GA US |
| Postal Code: | 301207938 |
| Phone Number: | 7703864111 |
| Fax Number: | 7703864905 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 11/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 000939 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |