Individual
AUDREY LOUISE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 ROBERTS CHURCH RD, ANDERSON, SC 29626-6641
(864) 612-9104
Mailing address
211 ROBERTS CHURCH RD, ANDERSON, SC 29626-6641
(864) 612-9104
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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