Douglas Bazemore
Douglas Bazemore is a Point of Service in Churchville, Maryland. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
3014 Cool Branch RdChurchville, MD 21028
Phone: (443) 617-7277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|---|
| Point of Service | Taxonomy 305S00000X |
Record details
| NPI number | 1972029007 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 21, 2017 |
| Last updated in NPPES | July 21, 2022 |