Individual
MR. LEON BASS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NRP
Contact information
Practice address
6280 SUNNY POINT RD, BLDG 44, SOUTHPORT, NC 28461-7800
(910) 457-8218
Mailing address
311 FIRE TOWER RD, RICHLANDS, NC 28574-8161
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
P024529
NC
Other
Enumeration date
09/07/2018
Last updated
04/16/2025
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