Individual
DR. JEREMY WALTER BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., D.C.
Contact information
Practice address
20 BAKER RD, SUITE 2, NEWNAN, GA 30265-2134
(678) 673-6552
Mailing address
20 BAKER RD, SUITE 2, NEWNAN, GA 30265-2134
(678) 673-6552
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR008317
GA
Other
Enumeration date
06/07/2008
Last updated
09/24/2012
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