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Individual

JAMIE BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
405 BELCHER ST, CENTREVILLE, AL 35042
(205) 316-7690
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4158
AL
207Q00000X
Family Medicine Physician
Primary
DO.1706
AL

Other

Enumeration date
07/01/2015
Last updated
06/18/2018
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