| Doctor Name: | DR. GARY H FISCHER |
| NPI Number: | 1053427690 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME59935 |
| Business Practice Address: | 10200 Ford Ave Suite 101 Richmond Hill, GA - 313248823 |
| Business Phone Number: | 9124596446 |
| Business Fax Number: | 9124455781 |
| Mailing Address: | 10200 Ford Ave, Suite 101 RICHMOND HILL |
| State: | GA |
| Postal Code: | 313248823 |
| Phone Number: | 9124596446 |
| Fax Number: | 9124455781 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 11/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME59935 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |