Individual provider · NPI-1

Alicia Owen Bishop, MD

Emergency Medicine · Tallahassee, FL

NPI number1285262576

StatusActive

Last updated in NPPESJun 23, 2023

Details

NPI: 1285262576
Entity type: Individual (NPI-1)
Name: Alicia Owen Bishop
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Mar 31, 2020
Certification date: Jun 23, 2023
Last updated: Jun 23, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207P00000X	Emergency Medicine	ME162917	FL	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

Phone 850-431-0911

Mailing address

Po Box 744237
Atlanta, GA 30374-4237

Phone 866-313-5260

Other practice locations

Dept Of Emergency Medicine Medical Center Blvd
Winston Salem, NC 27157-0001

Phone 336-713-9100

1260 Metropolitan Blvd
Tallahassee, FL 32312-2536

Phone 850-422-5413

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