Individual
JOSHUA BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN, CLC
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-4896
Mailing address
525 MEADOW DR, THOMASTON, GA 30286-2419
(770) 630-3093
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN295729
GA
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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