Provider Demographics
NPI:1376585174
Name:FISHER, CECELIA G (MD)
Entity Type:Individual
Prefix:
First Name:CECELIA
Middle Name:G
Last Name:FISHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:104 WOODMONT BLVD
Mailing Address - Street 2:SUITE LL50
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-386-2300
Mailing Address - Fax:615-386-2399
Practice Address - Street 1:4230 HARDING RD
Practice Address - Street 2:SUITE 400
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-297-2700
Practice Address - Fax:615-269-4584
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2015-06-08
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Provider Licenses
StateLicense IDTaxonomies
TN022036207R00000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN533376OtherUSA MCO
TN1506380Medicaid
TN1306187OtherUNITED HEALTH CARE
TNQ006410Medicaid
TN3164300OtherBLUE CROSS OF TN
KY64922420Medicaid
TN110217808OtherMEDICARE RR
TN12541393OtherMULTIPLAN/PHCS
TN1942827OtherCIGNA
TN5062009OtherAETNA
TN10075053OtherAMERIGROUP
G01230Medicare UPIN
TN1942827OtherCIGNA
TN12541393OtherMULTIPLAN/PHCS