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1043329055
REDA BASSALI
AUGUSTA, GA
NPI
1043329055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 038682)
Enumeration Date
2006-08-30
Last Update Date
2023-08-08
Business Address
-- REDA BASSALI MBCHB
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2191
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Mailing Address
-- REDA BASSALI MBCHB
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-828-8402
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