Doctor Name: | DR. JAMES DARRYL BISE |
NPI Number: | 1336149988 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 054062 |
Business Practice Address: | 1061 Harmon Ave Suite 2j11d Ft Stewart, GA - 313145604 |
Business Phone Number: | 9124356726 |
Business Fax Number: | 9124356926 |
Mailing Address: | 1061 Harmon Ave, Suite 2j11d FT STEWART |
State: | GA |
Postal Code: | 313145604 |
Phone Number: | 9124356726 |
Fax Number: | 9124356926 |
NPI Enumeration Date: | 07/26/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 054062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |