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MADISON MANDULA BAZEMORE PA
PA
Physician Assistant
NPI: 1306583323IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
11992(GA)
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 1315 JESSE JEWELL PKWY NE STE 300
GAINESVILLE, GA 30501 - Phone
- (770) 848-6190
Quick Facts
- NPI
- 1306583323
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 3
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