ENAS BASHA

CONYERS, GA
NPI1104328095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: GA  217282)
Enumeration Date2018-03-06
Last Update Date2020-02-19
Business Address
Mrs. ENAS BASHA NP
1412 MILSTEAD AVE NE
CONYERS, GA 30012-3877
Phone number: 404-605-2800
Mailing Address
Mrs. ENAS BASHA NP
1371 SONOMA DR
LAWRENCEVILLE, GA 30045-7833
Phone number: 404-252-0256