Bazemore, Curtis Wright
Bazemore, Curtis Wright is an individual health care provider with primary practice located at 1900 Riverside Pkwy , Lawrenceville GA 30043-5925. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Bazemore, Curtis Wright can be contacted via phone (770) 237-3475.Contact Information
Primary practice address
1900 Riverside Pkwy
Lawrenceville GA 30043-5925
Phone: (770) 237-3475
Fax: (770) 237-3756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT000825 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ATC000238 | Georgia |
Profile Details
| NPI number | 1114001328 |
|---|---|
| LBN Legal business name | Bazemore, Curtis Wright |
| Credentials | PT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Feb 12th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114001328 | NPPES |
| Georgia | Other | P00416901 | RAILROAD MEDICARE |
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