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JAZZMINE BASHAM

FAMILY PRACTICE · LA FAYETTE, GA

Provider

NPI
1114451051
Credential
Primary specialty
FAMILY PRACTICE
Gender
Female
Medical school
EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduation year
2017

Practice

Address
10 PROBASCO ST, LA FAYETTE, GA 307282316
Phone
70671908888542
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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