| Fischbach Family Medicine & Opthamology | |
|
721 Richland Ave W Suite 200 Aiken SC 29801-3831 | |
| (803) 643-3400 | |
| (803) 643-3440 |
| Full Name | Fischbach Family Medicine & Opthamology |
|---|---|
| Speciality | Family Medicine |
| Location | 721 Richland Ave W, Aiken, South Carolina |
| Authorized Official Name and Position | Gary T Fischbach (OWNER) |
| Authorized Official Contact | 8036433400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fischbach Family Medicine & Opthamology 3772 Ivey Lane Lilburn GA 30047-2156 Ph: (803) 643-3400 | Fischbach Family Medicine & Opthamology 721 Richland Ave W Suite 200 Aiken SC 29801-3831 Ph: (803) 643-3400 |
| NPI Number | 1194870998 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194870998 | NPI | - | NPPES |
| 107583 | Medicaid | SC | |
| GP2515 | Other | SC | MEDICAID GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0502521 (South Carolina) | Primary |
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