Individual
ELLIOT SUMNER BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
69 JESSE HILL JR. DR. SE, GLENN MEMORIAL BUILDING, 3RD FLOOR, ATLANTA, GA 30303
(404) 251-8915
Mailing address
69 JESSE HILL JR. DR. SE, GLENN MEMORIAL BUILDING, 3RD FLOOR, ATLANTA, GA 30303
(404) 251-8915
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
93111
GA
2086S0102X
Surgical Critical Care Physician
93111
GA
2086S0127X
Trauma Surgery Physician
93111
GA
Other
Enumeration date
06/12/2013
Last updated
09/30/2022
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