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Jazzmine C Basham, DO
Family Medicine Physician in Trenton, Georgia
NPI 1114451051

Jazzmine C Basham is a Family Medicine Physician based in Trenton, GA. Jazzmine C Basham practices in Trenton, GA and has the professional credentials of DO. The NPI Number for Jazzmine C Basham is 1114451051 and holds a License No. (Georgia).

The current practice location address for Jazzmine C Basham is 13570 N Main St, Trenton, GA and can be reached out via phone at 706-956-2665 and via fax at 706-657-2958.

Location: 13570 N Main St, Trenton, GA, 30752-2012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114451051
Provider Name
Jazzmine C Basham
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
13570 N Main St, Trenton, GA, 30752-2012
Phone Number
706-956-2665
Fax Number
706-657-2958
Provider Enumeration Date
04/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000211956A 05 GA
institution
Provider Business Practice Location Address Details
Address
13570 N Main St
City
Trenton
State
Georgia
Zip
30752-2012
Phone Number
706-956-2665
Fax Number
706-657-2958
person
Provider Business Mailing Address Details
Address
13570 N Main St
City
Trenton
State
Georgia
Zip
30752-2012
Phone Number
706-956-2665
Fax Number
706-657-2958
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OP61126338 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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