WALLINE T BASS

ATLANTA, GA
NPI1548364755
Former NameWALLINE T DRIVER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN102335)
Enumeration Date2006-09-08
Last Update Date2024-06-10
Business Address
WALLINE T BASS N.P.
1525 CLIFTON RD NE SUITE 207
ATLANTA, GA 30322-4200
Phone number: 404-778-4451
Mailing Address
WALLINE T BASS N.P.
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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