AMANDA GRACE BISHOP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1225864788- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1122 CHUCK DAWLEY BLVD STE 200, MOUNT PLEASANT, SC, 294644183
- Phone
- (843) 884-8045
Specialties & Taxonomies
Urology
License: SC #250155
Nurse Practitioner
Primary License: SC #29601