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1467560615
DIANE MARIE FISK
DECATUR, GA
NPI
1467560615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003372)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
Mrs. DIANE MARIE FISK PA-C
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
Mrs. DIANE MARIE FISK PA-C
3048 OAKHAM PL
AVONDALE ESTATES, GA 30002-1343
Phone number: 404-297-5829
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