Individual
GRANT BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
812 PINCKNEY ST, WHITEVILLE, NC 28472-3308
(910) 207-6696
Mailing address
812 PINCKNEY ST, WHITEVILLE, NC 28472-3308
(910) 207-6696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19706
NC
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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