WILLIAM PRESTON BAZEMORE

ROSWELL, GA
NPI1790898351
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT000548)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
Mr. WILLIAM PRESTON BAZEMORE ATC
11320 WOODSTOCK RD
ROSWELL, GA 30075-2548
Phone number: 678-277-9083
Mailing Address
Mr. WILLIAM PRESTON BAZEMORE ATC
1907 GRANT LN
WOODSTOCK, GA 30188-2958
Phone number: 678-618-1209
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