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1306100979
CHARLES MARCUS BASS
GAINESVILLE, GA
NPI
1306100979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 006476)
Enumeration Date
2012-06-28
Last Update Date
2018-09-20
Business Address
Mr. CHARLES MARCUS BASS PA
1485 JESSE JEWELL PKWY NE STE 220A
GAINESVILLE, GA 30501
Phone number: 770-740-1860
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Mailing Address
Mr. CHARLES MARCUS BASS PA
925 N POINT PKWY STE 130
ALPHARETTA, GA 30005-5211
Phone number: 770-740-1860
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