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RICHARD BASSI PA
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1508829409
Individual Registrant:
RICHARD BASSI PA
Gender: M
Location and contact information for practice:
915 GORDON AVE THOMASVILLE, GA 31792-6614 US
Tel: 229-228-2000 Fax: --
Contact information for business:
PO BOX 235019 MONTGOMERY, AL 36123-5019 US
Tel: 334-279-1450 Fax: 334-279-1660
Registration Information:
NPI: 1508829409
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant
| | |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
BCBS | 855380 | GA | 01 |
HEALTH CARE JOBS GA - Page 1