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NPI Code Detail

MEDICARE: BRET E FISHER DO

MEDICARE: BRET E FISHER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician445SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285611889
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRET E FISHER DO
Provider Business Mailing Address
First Line : PO BOX 402145
Second Line :
City : ATLANTA
State : GA
Zip : 30384-2145
Country : US
Telephone Number : 803-296-7303
Fax Number : 803-296-7330
Provider Business Practice Location Address
First Line : 129 N WASHINGTON ST
Second Line :
City : SUMTER
State : SC
Zip : 29150-4949
Country : US
Telephone Number : 803-774-1788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 10/04/2016

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