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Individual

DR. JOHN BARRY BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
24 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4452
(864) 295-4160
(864) 295-0445
Mailing address
24 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4452
(864) 295-4160
(864) 295-0445

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
9152
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC1798
SC
Enumeration date
03/16/2006
Last updated
06/03/2008
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