Individual
JOSEPH DREW BAZEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 LEAKE ST STE 106, CARTERSVILLE, GA 30120-3562
(770) 615-0218
Mailing address
406 WOODBRIDGE DR, DALLAS, GA 30157-0520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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