Lori Bishop
Individual provider Active NPI Registered Nurse · Woodbine, GA
NPI 1811225550 · NPPES record last updated Nov 18, 2009
Key facts
- NPI
- 1811225550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN175430 (GA)
- Practice address
- 1501 Georgia Ave
Woodbine, GA 31569-5504 - Phone
- (912) 576-3040
- Fax
- (912) 729-3111
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN175430 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camden County Board of Health | Past | Accepting new patients | |
| Camden County Board of Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN175430 | GA | Yes |
Addresses
Primary practice location
1501 Georgia Ave
Woodbine, GA 31569-5504
Mailing address
1501 Georgia Ave
Woodbine, GA 31569-5504
Phone (912) 576-3040
Other providers in Woodbine, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.