Individual
CHAD T BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4000
Mailing address
498 BRINKLEYS WAY, JOHNSON CITY, TN 37615-4887
(423) 943-2530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235348
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
35493
TN
Other
Enumeration date
05/12/2022
Last updated
02/06/2025
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