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DR. CHRISTOPHER NEIL BAZAL M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1639260037
Individual Registrant:DR. CHRISTOPHER NEIL BAZAL M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
8 LAUREL CT MOULTRIE, GA 31768-6889 US
Tel: 229-891-9016 Fax: --
Tel: 229-891-9016 Fax: --
Contact information for business:
PO BOX 3877 MOULTRIE, GA 31776-3877 US
Tel: (22-9) -891-9016 Fax: --
Tel: (22-9) -891-9016 Fax: --
Registration Information:
NPI: 1639260037
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 049562 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000894517I | GA | 05 | |
| 00894517B | GA | 05 |
