Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. William Preston Bazemore, ATC

Individual provider Athletic Trainer · NPI 1790898351

Mr. William Preston Bazemore, ATC is an Athletic Trainer in Roswell, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

11320 Woodstock Rd
Roswell, GA 30075-2548
Phone: (678) 277-9083
Fax: (678) 277-9756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT000548 (GA)

Record details

NPI number1790898351
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 17, 2006
Last updated in NPPESJuly 8, 2007

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