Bazemore, Taylor Carlyle
Bazemore, Taylor Carlyle is an individual health care provider with primary practice located at 1415 Physicians Dr , Wilmington NC 28401-7338. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Bazemore, Taylor Carlyle can be contacted via phone (910) 662-9500.Contact Information
Primary practice address
1415 Physicians Dr
Wilmington NC 28401-7338
Phone: (910) 662-9500
Fax: (910) 662-9501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2017-01994 | North Carolina |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 2017-01994 | North Carolina |
Profile Details
| NPI number | 1144648270 |
|---|---|
| LBN Legal business name | Bazemore, Taylor Carlyle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2014 |
| Last updated | Nov 22nd, 2023 - about last year |
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 | 1144648270 | NPPES |
| North Carolina | MEDICAID | 1144648270 |
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