| Doctor Name: | DR. DANA JUSTINE FISHER |
| NPI Number: | 1053360115 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 00567 |
| Business Practice Address: | 135 Express Ln Orangeburg, SC - 29118 |
| Business Phone Number: | 8035362100 |
| Business Fax Number: | 8035364399 |
| Mailing Address: | 135 Express Ln, ORANGEBURG |
| State: | SC |
| Postal Code: | 29118 |
| Phone Number: | 8035362100 |
| Fax Number: | 8035364399 |
| NPI Enumeration Date: | 05/08/2006 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 00567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |