Individual provider · Type 1 NPI
Gregory Maurice Bazemore
Specialist · Temple Hills, MD
NPI number
1558849034
Active
Practice location
3504 Leslie Ave
Temple Hills, MD 20748-4634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 04-110002 (MD) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Temple Hills
About NPI 1558849034
Gregory Maurice Bazemore's National Provider Identifier is 1558849034, issued on Aug 6, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Temple Hills, MD. The record was last updated on Sep 8, 2026.