Individual
STEPHANIE BAZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95489
SC
363LF0000X
Family Nurse Practitioner
Primary
22511
SC
Other
Enumeration date
02/07/2017
Last updated
08/05/2019
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