Sharell Latrice Bishop, M.A

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lithonia, GA

NPI 1508259227 · NPPES record last updated Mar 5, 2015

Key facts

NPI
1508259227
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
I886767 (AL)
Practice address
2391 Hillvale Cir
Lithonia, GA 30058-1816
Phone
(470) 865-0433
NPI assigned
Mar 5, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
I886767ALMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X I886767 AL Yes

Addresses

Primary practice location

2391 Hillvale Cir
Lithonia, GA 30058-1816

Mailing address

2391 Hillvale Cir
Lithonia, GA 30058-1816
Phone (470) 865-0433

Other providers in Lithonia, GA

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

Sources for this page

Verify at the official NPI Registry.