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Individual

WILLIAM BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11476 SAVANNAH PL, GULFPORT, MS 39503-1109
(228) 669-3157
(228) 831-8899
Mailing address
11476 SAVANNAH PL, GULFPORT, MS 39503-1109
(228) 669-3157
(228) 831-8899

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
13-468
MS
246ZS0410X
Surgical Technologist
Primary
13-468
363AS0400X
Surgical Physician Assistant
13-468
MS

Other

Enumeration date
11/21/2013
Last updated
11/21/2013
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