BRIAN BASCO

AUGUSTA, GA
NPI1871156042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: GA  10816)
Enumeration Date2019-04-15
Last Update Date2019-04-15
Business Address
BRIAN BASCO
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-0211
Mailing Address
BRIAN BASCO
3566 PEBBLE BEACH DR
MARTINEZ, GA 30907-9520
Phone number: 404-783-1582
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