Individual
DR. PRESTON EDDIE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7221 S PINE ST, PACOLET, SC 29372-3122
(864) 474-1528
(864) 474-1049
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21305
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210355
—
SC
01
—
3580315
AETNA
SC
01
—
D6333
MEDCOST
SC
Enumeration date
01/26/2006
Last updated
11/30/2020
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