Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD9631 | TN |
N | 208600000X | Surgeon | MD9631 | TN |
Y | 2086S0129X | Vascular Surgeon | 9631 | TN |
NPI | 1053305789 |
---|---|
Provider Name | Dr. Daniel Franklin Fisher JR. |
First Address | Chattanooga, TN 37403-2136 |
Second Address | Chattanooga, TN 37404-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 18/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000402696E | (05) | GA |
009005120 | (05) | AL |
020041408 | RR MEDICARE (01) | |
1740075 | UHC (01) | |
2612533 001 | CIGNA (01) | |
62165877409 | JDH (01) | |
92964 | BCBS OF TN (01) | |
B95614 | (02) | |
Q002544 | (05) | TN |