Search › Georgia › 363A00000X
Madison Bazemore, PA
NPI 1306583323 · on the registry since 2022
Practice
- Address
- 1315 Jesse Jewell Pkwy Ne Ste 300
Gainesville, GA 30501 - Phone
- (770) 848-6190
- Organisation at this address
- Georgia Urology, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 80
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-20
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