Search › Georgia › 207Q00000X
Jazzmine Basham, DO
NPI 1114451051 · on the registry since 2017
Practice
- Address
- 13570 N Main St
Trenton, GA 30752 - Phone
- (706) 956-2665
- Fax
- (706) 657-2958
- Organisation at this address
- Primary Health Care Center Of Dade, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
207Q00000X
207Q00000X - Licence states on file
- WA, OK, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia