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Madison Mandula Bazemore, PA
Physician Assistant in Gainesville, Georgia
NPI 1306583323

Madison Mandula Bazemore is a Physician Assistant based in Atlanta, GA. Madison Mandula Bazemore practices in Gainesville, GA and has the professional credentials of PA. The NPI Number for Madison Mandula Bazemore is 1306583323 and holds a License No. (Georgia).

The current practice location address for Madison Mandula Bazemore is 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA and can be reached out via phone at 770-848-6190.

Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA, 30374-2616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306583323
Provider Name
Madison Mandula Bazemore
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA, 30374-2616
Phone Number
770-848-6190
Fax Number
Provider Enumeration Date
05/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1315 Jesse Jewell Pkwy Ne Ste 300
City
Gainesville
State
Georgia
Zip
30501-3875
Phone Number
770-848-6190
Fax Number
person
Provider Business Mailing Address Details
Address
1315 Jesse Jewell Pkwy Ne Ste 300
City
Gainesville
State
Georgia
Zip
30501-3875
Phone Number
770-848-6190
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
11992 (Georgia)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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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