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NPI Code Detail

MEDICARE: DR. DAVID ANDREW FISHER

MEDICARE: DR. DAVID ANDREW FISHER
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
1207QG0300XGeriatric Medicine (Family Medicine) Physician200201459NC
2207Q00000XFamily Medicine Physician036-114084IL

General Provider Information

NPI Number : 1982622718
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ANDREW FISHER
Provider Business Mailing Address
First Line : 2511 OLD CORNWALLIS RD STE 200
Second Line :
City : DURHAM
State : NC
Zip : 27713-1869
Country : US
Telephone Number : 919-932-5700
Fax Number : 919-933-6881
Provider Business Practice Location Address
First Line : 2511 OLD CORNWALLIS RD
Second Line : SUITE 200
City : DURHAM
State : NC
Zip : 27713-1869
Country : US
Telephone Number : 919-932-5700
Fax Number : 919-933-6881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 06/23/2026

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Directions to “ DR. DAVID ANDREW FISHER ” Practice Location

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