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Individual

CURTIS WRIGHT BAZEMORE

Active
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Individual

CURTIS WRIGHT BAZEMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, ATC

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000825
GA
2255A2300X
Athletic Trainer
ATC000238
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00416901
RAILROAD MEDICARE
GA
Enumeration date
10/24/2006
Last updated
02/12/2008
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