MEDICARE: SHANAY FISCHER DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	POD305076	GA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1548955024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANAY FISCHER DPM

Provider Business Mailing Address
First Line	:	20 GLENLAKE PKWY
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-3473
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 GLENLAKE PKWY
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-3473
Country	:	US
Telephone Number	:	404-365-0966
Fax Number	:

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

Provider Enumeration Date	:	04/10/2023
Last Update Date	:	04/14/2026

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