Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADISON MANDULA BAZEMORE, PA
ActiveMADISON MANDULA BAZEMORE, PA is a Physician Assistant healthcare provider located in GAINESVILLE, Georgia. NPI 1306583323 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GAINESVILLE, GA
Registration Details
- NPI Number
- 1306583323
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 20, 2022 (4.2158290371151 yrs)
- Last Updated
- Dec 20, 2023
- License
-
11992 (GA)
Practice Information
- Address
-
1315 JESSE JEWELL PKWY NE STE 300GAINESVILLE, GA, 305013875Browse GA providers · Browse ZIP 30501
- Phone
- 7708486190
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GAINESVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| KAREN V STABLER | P.A. | 1912903618 |
| ROBERT A ZECCHINI | P.A. | 1366448086 |
| V. KAREN LAXSON | P.A. | 1295731925 |
| ELIZABETH A PRICE | P.A. | 1801866488 |
| NEIL A TROSSEVIN | PA | 1265496186 |
| MRS. DAVINA SARA BRASELTON | PA-C | 1659329514 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.