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Individual

STEVEN D BISCHOF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
101 ST. JOSEPH'S CANDLER DRIVE, SUITE 200, POOLER, GA 31322
(912) 748-1999
(912) 748-3847
Mailing address
836 E. 65TH STREET, SUITE 20, SAVANNAH, GA 31405
(912) 819-7878
(912) 819-3555

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036103
GA
207Q00000X
Family Medicine Physician
Primary
36103
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000526017S
GA
05
00526017E
GA
Enumeration date
07/20/2006
Last updated
05/15/2019
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