MR. Charles Marcus Bass JR., PA
NPI #1306100979 in Gainesville, Georgia
Provider Information
- NPI Number
- 1306100979
- Entity Type
- Individual
- Name
- MR. Charles Marcus Bass JR., PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jun 28, 2012
- Last Updated
- Sep 20, 2018
Practice Location
- Address
- 1485 JESSE JEWELL PKWY NE STE 220A
- City
- Gainesville
- State
- Georgia
- ZIP Code
- 30501
- Phone
- (770) 740-1860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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