Individual
HEATHER BAZEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
106 SOUTHRIDGE DR, GREENVILLE, NC 27858-9266
(910) 840-1135
Mailing address
106 SOUTHRIDGE DR, GREENVILLE, NC 27858-9266
(910) 840-1135
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
277755
NC
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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