Individual
MR. NICHOLAS SYLVESTER BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
7714 CONNER RD, SUITE 105, POWELL, TN 37849-3559
(865) 947-6220
(865) 512-1069
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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