Individual
ANDREW CHARLES BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
971 LAKELAND DR STE 654, JACKSON, MS 39216-4605
(601) 982-1010
(601) 366-0436
Mailing address
971 LAKELAND DR STE 654, JACKSON, MS 39216-4605
(601) 982-1010
(601) 366-0436
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
09940
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018147
—
MS
Enumeration date
08/29/2006
Last updated
11/02/2019
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