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NPI Code Detail

MEDICARE: WESLEY EARNEST FISCHER

MEDICARE: WESLEY EARNEST FISCHER
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
1333600000XPharmacyRPH31437GA

General Provider Information

NPI Number : 1881166056
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY EARNEST FISCHER
Provider Business Mailing Address
First Line : 303 CHARLIE WATTS DR
Second Line :
City : DALLAS
State : GA
Zip : 30157-4907
Country : US
Telephone Number : 770-443-4886
Fax Number :
Provider Business Practice Location Address
First Line : 303 CHARLIE WATTS DR
Second Line :
City : DALLAS
State : GA
Zip : 30157-4907
Country : US
Telephone Number : 770-443-4886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2018
Last Update Date : 12/21/2022

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Directions to “ WESLEY EARNEST FISCHER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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