Provider Demographics
NPI:1538235015
Name:BISHOP, WILLIAM B JR (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:B
Last Name:BISHOP
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:38 BRAMBLEWOOD DR SW
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-5763
Mailing Address - Country:US
Mailing Address - Phone:770-386-8665
Mailing Address - Fax:
Practice Address - Street 1:775 WEST AVE
Practice Address - Street 2:SUITE D
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3481
Practice Address - Country:US
Practice Address - Phone:770-386-7272
Practice Address - Fax:770-386-7270
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR004892111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor