Individual
DONETTE LOUISE BISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1412 ELBA HWY, TROY, AL 36079
(334) 566-8822
(334) 566-8128
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-914
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051003454
BLUECROSS AND BLUE SHIELD
AL
05
—
631805043
—
AL
Enumeration date
08/07/2006
Last updated
06/14/2022
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