Individual
LORI BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 GEORGIA AVE, WOODBINE, GA 31569-5504
(912) 576-3040
(912) 729-3111
Mailing address
1501 GEORGIA AVE, WOODBINE, GA 31569-5504
(912) 576-3040
(912) 729-3111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN175430
GA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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