DR. CARY NELSON DAVIS FISHBURNE JR.


Address: 295a Midland Pkwy Ste 130, Summerville, SC 29485
Phone: 8438739690

DR. CARY NELSON DAVIS FISHBURNE JR. (NPI# 1285624031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285624031
Entity Type Individual
Full Name DR. CARY NELSON DAVIS FISHBURNE JR.
Credential MD
Practice Address 295a Midland Pkwy Ste 130
Summerville
SC 29485
Mailing Address 295a Midland Pkwy Ste 130
Summerville
SC 29485-5901
Practice Telephone 8438739690
Practice Fax Number 8438750368
Mailing Telephone 8438739690
Mailing Fax Number 8438750368
Enumeration Date 2005-10-24
Last Update Date 2018-06-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology 9601608 NC Allopathic & Osteopathic Physicians
Y 207VF0040X Obstetrics & Gynecology
Specialization: Female Pelvic Medicine and Reconstructive Surgery
40796 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 891332Y 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
10220 Prosperity Park Dr Ste 300, Charlotte, NC 282691106 7043161120

Other Providers CARY FISHBURNE

NPI Name Taxonomy Address Enumeration
1669464988 Cary Nelson Fishburne Pediatrics 7363 Walker Ave, Gloucester, VA 23061-6119 2005-08-23

Office Location

Street Address 295A MIDLAND PKWY STE 130
City SUMMERVILLE
State SC
Zip Code 29485

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487267365 Cp Dentistry, LLC Dentist 9919 Dorchester Road, Summerville, SC 29485 2020-08-28
1922622604 Rachel Elaine Digiacomo Physical Therapist 10160 Dorchester Road, Summerville, SC 29485 2020-05-29
1396220034 Amanda W Peebles Nurse Practitioner 4278 Ladson Rd., Summerville, SC 29485 2018-09-28
1396230728 Gerald Darnell Woods Counselor 10825 Dorchester Rd. #3077, Summerville, SC 29485 2018-06-27
1063901072 Elite Barber Spa, LLC Specialist 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 2018-05-04
1598253528 Daniel Joseph Neitzke Student in an Organized Health Care Education/Training Program 9228 Medical Plaza Drive, Charleston, SC 29485 2018-04-25
1700315447 Donna Marie White Counselor 9214 Ayscough Road, Summerville, SC 29485 2017-06-07
1043763212 Brockman Davis Smith Dentist 1710 B Trolley Road, Summerville, SC 29485 2016-07-25
1336508530 Meca Home Health, LLC Home Health 415 Savannah River Rd, Summerville, SC 29485 2016-02-16
1609241033 Dental Professionals of South Carolina, PC Dentist 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 2015-12-10
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Taxonomy Information

Taxonomy Code 207VF0040X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396221248 St. Francis Physician Services, Inc Obstetrics & Gynecology 2 Innovation Dr Ste 180, Greenville, SC 29607-5265 2018-07-13

Competitor

Search similar providers

City SUMMERVILLE
Zip Code 29485

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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