Organization Name: | EDWARD H FISHER III M.D., P.C. |
NPI Number: | 1578746244 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD H FISHER (DR) |
Mailing Address: | 715 Gandy St Ne Suite B Russellville |
State: | AL US |
Postal Code: | 356531922 |
Phone Number: | 2563321800 |
Fax Number: | 2563321815 |
NPI Enumeration Date: | 12/17/2007 |
NPI Last Update Date: | 12/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD 18628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |