Doctor Name: | MR. THOMAS POSEY FISHER |
NPI Number: | 1467886937 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP-C |
License Number: | R850302 |
Business Practice Address: | 805 E Fifteenth St Yazoo City, MS - 391947607 |
Business Phone Number: | 6627466083 |
Business Fax Number: | 6627461954 |
Mailing Address: | 1474 Dover Rd, BENTONIA |
State: | MS |
Postal Code: | 390409162 |
Phone Number: | 6627558657 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2013 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R850302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |