Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES MARCUS BASS JR., PA
ActiveMR. CHARLES MARCUS BASS JR., PA is a Physician Assistant healthcare provider located in GAINESVILLE, Georgia. NPI 1306100979 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GAINESVILLE, GA
Registration Details
- NPI Number
- 1306100979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2012 (14.109537662236 yrs)
- Last Updated
- Sep 20, 2018
- License
-
006476 (GA)
Practice Information
- Address
-
1485 JESSE JEWELL PKWY NE STE 220AGAINESVILLE, GA, 30501Browse GA providers · Browse ZIP 30501
- Phone
- 7707401860
- Fax
- 6783472104
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GAINESVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| KAREN V STABLER | P.A. | 1912903618 |
| ROBERT A ZECCHINI | P.A. | 1366448086 |
| V. KAREN LAXSON | P.A. | 1295731925 |
| ELIZABETH A PRICE | P.A. | 1801866488 |
| NEIL A TROSSEVIN | PA | 1265496186 |
| MRS. DAVINA SARA BRASELTON | PA-C | 1659329514 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.