Individual
DR. LEON CHARLES BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N STATE OF FRANKLIN RD, ROOM 2746, JOHNSON CITY, TN 37604-6035
(423) 431-2727
(423) 431-6715
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001195
GA
207R00000X
Internal Medicine Physician
0101251956
VA
207R00000X
Internal Medicine Physician
48080
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
48080
TN
207RP1001X
Pulmonary Disease Physician
Primary
48080
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
48080
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063639839
—
NC
05
—
1063639839
—
VA
05
—
1528609
—
TN
05
—
7100389480
—
KY
Enumeration date
04/20/2007
Last updated
10/30/2023
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