| David Charles Fisher Md Llc | |
|
566 Spears Creek Church Rd Ste 102b Elgin SC 29045-8128 | |
| (803) 995-5555 | |
| (803) 828-3795 |
| Full Name | David Charles Fisher Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 566 Spears Creek Church Rd Ste 102b, Elgin, South Carolina |
| Authorized Official Name and Position | David Charles Fisher (OWNER / PHYSICIAN) |
| Authorized Official Contact | 8039955555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Charles Fisher Md Llc 566 Spears Creek Church Rd Ste 102b Elgin SC 29045-8128 Ph: (803) 995-5555 | David Charles Fisher Md Llc 566 Spears Creek Church Rd Ste 102b Elgin SC 29045-8128 Ph: (803) 995-5555 |
| NPI Number | 1326531682 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 06/12/2018 |
| Medicare PECOS PAC ID | 1951650597 |
|---|---|
| Medicare Enrollment ID | O20180815002227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326531682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD17710 (South Carolina) | Primary |
| Provider Name | David C Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629088299 PECOS PAC ID: 9537343975 Enrollment ID: I20110411000265 |
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