Individual
DR. PETER BISHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., M.B.S.
Contact information
Practice address
840 PINE ST STE 500, MACON, GA 31201-7530
(478) 633-8060
(478) 633-8698
Mailing address
840 PINE ST STE 500, MACON, GA 31201-7530
(478) 633-8060
(478) 633-8698
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
86258
GA
Other
Enumeration date
05/06/2015
Last updated
07/17/2020
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