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Individual

DR. JAMES K BAZEMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1115 LEXINGTON AVE, BLDG 7, SAVANNAH, GA 31404-5502
(912) 354-4813
(912) 354-7569
Mailing address
1115 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 354-4813
(912) 354-7569

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
037953
GA
174400000X
Specialist
15425
SC
207RN0300X
Nephrology Physician
Primary
037953
GA
207RN0300X
Nephrology Physician
15425
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00597583A
GA
05
00597583C
GA
05
154255
SC
Enumeration date
05/31/2005
Last updated
08/22/2012
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