Healthcare Provider Details

I. General information

NPI: 1760396147
Provider Name (Legal Business Name): MEGHAN FISHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2114 HENDERSON MILL RD NE
ATLANTA GA
30345-3762
US

IV. Provider business mailing address

2512 SKYLAND DR NE
BROOKHAVEN GA
30319-3723
US

V. Phone/Fax

Practice location:
  • Phone: 770-934-4327
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHADS001188
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: