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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PATRICIA ROSE BAST, DO

Active Sole Proprietor

PATRICIA ROSE BAST, DO is a Pediatrics healthcare provider located in MARIETTA, Georgia. NPI 1710322896 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · MARIETTA, GA

Registration Details

NPI Number
1710322896
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2013 (13.310687824534 yrs)
Last Updated
Apr 21, 2023
Licenses
20A14128 (CA)
82246 (GA)
82246 (GA)
Sole Proprietor
Yes

Practice Information

Address
780 CANTON RD NE
STE 200
MARIETTA, GA, 30060
Browse GA providers · Browse ZIP 30060
Phone
7702858026
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
General Practice
Additional Specialty
Pediatrics

Other Pediatrics Providers in MARIETTA, GA

Name Credential NPI
DR. ANGEL MENDOZA M.D. 1194729707
CARLA A MCLEAN-JOSEPH M.D. 1033114962
OFELIA S MANDOCK M.D. 1518962414
MEENAKSHI HARI M.D., F.A.A.P 1295736403
MRS. NICOLE A SMAIL M.D. 1003804774
DR. LORI SPITZER CORLEY MD 1063401289
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.