Individual
VANESSA HARPER BAZEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10106 COBALT WAY, STOCKBRIDGE, GA 30281-7699
(470) 453-2111
Mailing address
10106 COBALT WAY, STOCKBRIDGE, GA 30281-7699
(470) 453-2111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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