Individual
MS. LESLIE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
738 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4462
(404) 256-2593
Mailing address
2835 BRANDYWINE RD STE 300, ATLANTA, GA 30341-5540
(404) 256-2593
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN063030
GA
Other
Enumeration date
04/25/2007
Last updated
01/22/2021
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