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NPI Code Detail

MEDICARE: DR. JAMES KEITH FISHER MD

MEDICARE: DR. JAMES KEITH FISHER MD
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
1207L00000XAnesthesiology Physician12839MS

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 : 1639125768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES KEITH FISHER MD
Provider Business Mailing Address
First Line : PO BOX 247
Second Line :
City : LAUREL
State : MS
Zip : 39441-0247
Country : US
Telephone Number : 601-399-6167
Fax Number : 601-399-6281
Provider Business Practice Location Address
First Line : 1220 JEFFERSON ST
Second Line :
City : LAUREL
State : MS
Zip : 39440-4355
Country : US
Telephone Number : 601-426-4507
Fax Number : 601-426-4228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/24/2014

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