Individual
LADONNA M BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 S WEST ST, BAINBRIDGE, GA 39819-4581
(229) 246-8850
Mailing address
640 RANDOLPH CT, BAINBRIDGE, GA 39819-7929
(229) 220-0238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN297220
GA
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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