Provider Demographics
NPI:1518038322
Name:FISHER, FRANKLIN S (MPT, LAT, ATC)
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:S
Last Name:FISHER
Suffix:
Gender:M
Credentials:MPT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2453 GUM BRANCH RD STE 600
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-4008
Mailing Address - Country:US
Mailing Address - Phone:910-353-9800
Mailing Address - Fax:910-455-2083
Practice Address - Street 1:2453 GUM BRANCH RD STE 600
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-4008
Practice Address - Country:US
Practice Address - Phone:910-353-9800
Practice Address - Fax:910-455-2083
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC83432251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic