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NPI Code Detail

MEDICARE: DAVID CHARLES BISHOP

MEDICARE: DAVID CHARLES BISHOP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT007120GA

General Provider Information

NPI Number : 1558843649
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CHARLES BISHOP
Provider Business Mailing Address
First Line : 4641 ROSWELL RD
Second Line :
City : ATLANTA
State : GA
Zip : 30342-3073
Country : US
Telephone Number : 404-474-0506
Fax Number : 404-474-0515
Provider Business Practice Location Address
First Line : 4641 ROSWELL RD
Second Line :
City : ATLANTA
State : GA
Zip : 30342-3073
Country : US
Telephone Number : 404-474-0506
Fax Number : 404-474-0515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2018
Last Update Date : 09/05/2018

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Directions to “ DAVID CHARLES BISHOP ” Practice Location

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