Bazemore, James K

Bazemore, James K is an individual health care provider with primary practice located at 1115 Lexington Ave Bldg 7, Savannah GA 31404-5502. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Bazemore, James K can be contacted via phone (912) 354-4813.

Contact Information

Primary practice address
1115 Lexington Ave Bldg 7 Savannah GA 31404-5502
Phone: (912) 354-4813
Fax: (912) 354-7569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 037953 Georgia
Other Service Providers / Specialist 174400000X 15425 South Carolina
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 037953 Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 15425 South Carolina

Profile Details

NPI number 1265435564
LBN Legal business name Bazemore, James K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Aug 22nd, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265435564 NPPES
Georgia MEDICAID 00597583C
Georgia MEDICAID 154255
Georgia MEDICAID 00597583A

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