BRIAN C BASHAM

FAYETTEVILLE, NC
NPI1568793891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-02199)
Enumeration Date2010-01-27
Last Update Date2010-01-27
Business Address
-- BRIAN C BASHAM P.A.
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 800-476-8646
Mailing Address
-- BRIAN C BASHAM P.A.
PO BOX 1070
CHARLOTTE, NC 28201-1070
Phone number: 800-476-8646
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