MEDICARE: JESSICA FISHER DC

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
1	111N00000X	Chiropractor	CHIR010260	GA

General Provider Information

NPI Number	:	1710791934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA FISHER DC

Provider Business Mailing Address
First Line	:	PO BOX 204475
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30917-4475
Country	:	US
Telephone Number	:	706-619-1055
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 PLEASANT HOME RD
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30907-3520
Country	:	US
Telephone Number	:	706-619-1055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2025
Last Update Date	:	02/06/2025

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Directions to “ JESSICA FISHER DC” Practice Location

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