Individual
HEATHER BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2244 BOONES CREEK RD, JOHNSON CITY, TN 37615-4432
(423) 753-4000
(423) 753-4004
Mailing address
2244 BOONES CREEK RD, JOHNSON CITY, TN 37615-4432
(423) 753-4000
(423) 753-4004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2892
TN
Other
Enumeration date
12/14/2015
Last updated
07/30/2020
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