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Individual

TYLER BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(256) 490-6381
Mailing address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(256) 490-6381

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-164190
AL

Other

Enumeration date
11/04/2019
Last updated
11/04/2019
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