Fisher, Brenda Sue

Fisher, Brenda Sue is an individual health care provider with primary practice located at 1035 Red Bud Rd Ne , Calhoun GA 30701-6010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fisher, Brenda Sue can be contacted via phone (706) 879-4776.

Contact Information

Primary practice address
1035 Red Bud Rd Ne Calhoun GA 30701-6010
Fax: (706) 879-4781
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002915 Georgia

Profile Details

NPI number 1447360375
LBN Legal business name Fisher, Brenda Sue
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 20th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447360375 NPPES
Georgia MEDICAID 003106685B

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