| Doctor Name: | WESLEY FISHER |
| NPI Number: | 1033581467 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-BC |
| License Number: | 19673 |
| Business Practice Address: | 853 N Church St Ste 620 Spartanburg, SC - 293033070 |
| Business Phone Number: | 8645737511 |
| Business Fax Number: | 8645601690 |
| Mailing Address: | Po Box 743070, ATLANTA |
| State: | GA |
| Postal Code: | 303743070 |
| Phone Number: | 8645604304 |
| Fax Number: | 8645604413 |
| NPI Enumeration Date: | 10/26/2015 |
| NPI Last Update Date: | 01/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 19673 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |