Individual
EDET OKON BASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1041 TALBOTTON RD, COLUMBUS, GA 31904-8745
(706) 660-8825
(706) 660-8897
Mailing address
1041 TALBOTTON RD, COLUMBUS, GA 31904-8745
(706) 660-8825
(706) 660-8897
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044408
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00807881C
—
GA
Enumeration date
12/05/2005
Last updated
01/12/2010
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