Individual provider · NPI-1

Sharell Latrice Bishop, M.A

Student in an Organized Health Care Education/Training Program · Lithonia, GA

NPI number1508259227
StatusActive
Last updated in NPPESMar 5, 2015

Details

NPI
1508259227
Entity type
Individual (NPI-1)
Name
Sharell Latrice Bishop
Credential
M.A
Sex
Female
Sole proprietor
No
Enumeration date
Mar 5, 2015
Last updated
Mar 5, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramI886767ALYes

Practice location

2391 Hillvale Cir
Lithonia, GA 30058-1816

Phone 470-865-0433

Mailing address

2391 Hillvale Cir
Lithonia, GA 30058-1816

Phone 470-865-0433

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