Organization
CHERYL C. BAZZLE MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL C BAZZLE M.D. (MD/OWNER)
(256) 880-9345
Entity
Organization
Contact information
Practice address
333 WHITESPORT DR SW, SUITE 103, HUNTSVILLE, AL 35801-6454
(256) 880-9345
(256) 880-3961
Mailing address
333 WHITESPORT DR SW, SUITE 103, HUNTSVILLE, AL 35801-6454
(256) 880-9345
(256) 880-3961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J621
MEDICARE GROUP
AL
Enumeration date
12/07/2007
Last updated
02/10/2020
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