Individual
AMANDA GRACE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 CHUCK DAWLEY BLVD STE 200, MOUNT PLEASANT, SC 29464-4183
(843) 884-8045
Mailing address
1122 CHUCK DAWLEY BLVD STE 200, MOUNT PLEASANT, SC 29464-4183
(843) 884-8045
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
250155
SC
363L00000X
Nurse Practitioner
Primary
29601
SC
Other
Enumeration date
09/11/2024
Last updated
11/01/2024
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