Individual
MRS. SUSAN ROSALIE BAZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2043
(828) 298-7911
(828) 299-2567
Mailing address
126 OVERLOOK RD, ASHEVILLE, NC 28803-3338
(828) 687-1438
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
082238
NC
Other
Enumeration date
08/21/2005
Last updated
07/08/2007
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