Mary Glynn Bazemore, MS, RD, CPT is a
Dietitian, Registered based in Forsyth, Georgia. Mary Glynn Bazemore is licensed to practice in Alabama (license number 86176913) and her current practice location is
420 Taylor Dr, Forsyth, Georgia. She can be reached at her office (for appointments etc.) via phone at
(205) 837-4882.
NPI number for Mary Glynn Bazemore is 1336867886 and her current mailing address is 261 Providence Blvd, Macon, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336867886.
Healthcare Provider's Profile
| Full Name | Mary Glynn Bazemore |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 420 Taylor Dr, Forsyth, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336867886
- Provider Enumeration Date: 08/19/2022
- Last Update Date: 05/30/2024
Medical Identifiers
Medical identifiers for Mary Glynn Bazemore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336867886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 86176913 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Glynn Bazemore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Glynn Bazemore, MS, RD, CPT
261 Providence Blvd,
Macon, GA 31210-7565
Ph: (205) 837-4882 | Mary Glynn Bazemore, MS, RD, CPT
420 Taylor Dr,
Forsyth, GA 31029-8506
Ph: (205) 837-4882 |
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