Provider Demographics
NPI:1821627076
Name:FISHER, MERLA JOHANNA (MD, PHD)
Entity Type:Individual
Prefix:
First Name:MERLA
Middle Name:JOHANNA
Last Name:FISHER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:MERLA
Other - Middle Name:JOHANNA
Other - Last Name:HUBLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:910 BLACKFORD ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-1405
Mailing Address - Country:US
Mailing Address - Phone:423-778-6217
Mailing Address - Fax:423-778-6215
Practice Address - Street 1:50 N DUNLAP ST FL 6
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-2800
Practice Address - Country:US
Practice Address - Phone:901-287-5265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program