Individual
MRS. CASSIE L BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
523 W MAIN ST, THOMASTON, GA 30286-3504
(706) 647-9638
(706) 647-5321
Mailing address
523 W MAIN ST, THOMASTON, GA 30286-3504
(706) 647-9638
(706) 647-5321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN201329
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003161623A
—
GA
01
—
GRP2439
MEDICARE GROUP
GA
Enumeration date
07/17/2014
Last updated
08/24/2015
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