Mr. CHARLES MARCUS BASS Jr. PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1306100979- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 1485 JESSE JEWELL PKWY NE STE 220A, GAINESVILLE, GA, 30501
- Phone
- (770) 740-1860
- Fax
- (678) 347-2104
Specialties & Taxonomies
Physician Assistant
Primary License: GA #006476